Ronald F Kellum (NPI# 1679543102, PAC ID# 6901812973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679543102 |
| PAC ID by PECOS | 6901812973 |
| Professional Enrollment ID | I20060301000311 |
| Full Name | Ronald F Kellum |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Address |
4433 Leisure Time Dr Diamondhead MS 39525-3259 |
| Phone Number | 2285869229 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466524012 |
| Number of Group Practice Members | 353 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 251303 | STONE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 | 2285869229 | MEMORIAL HOSPITAL AT GULFPORT |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Physicians | 362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Kusserow Bersabe | Internal Medicine | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Mai Thi Tran | Nurse Practitioner | Memorial Hospital At Gulfport | 4333 15th St, Suite A, Gulfport, MS 39501-2525 |
| Kristi Ramey Kennon | Physician Assistant | Memorial Hospital At Gulfport | 9454 Three Rivers Rd, Gulfport, MS 39503-4294 |
| James C Hardwick | Cardiovascular Disease (cardiology) | Memorial Hospital At Gulfport | 4215 15th St, Gulfport, MS 39501-2523 |
| Takiffany Jean Mcleod | Nurse Practitioner | Memorial Hospital At Gulfport | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 |
| Laura Schepens | Nurse Practitioner | Memorial Hospital At Gulfport | 4603 Hospital St, Suite A, Pascagoula, MS 39581-5337 |
| Ursula Knight | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Susan P Muzslay | Registered Dietitian Or Nutrition Professional | Memorial Hospital At Gulfport | 90 Industrial Park Cir, Ocean Springs, MS 39564-5800 |
| Jennifer Dawn Champagne | Nurse Practitioner | Memorial Hospital At Gulfport | 8950 Lorraine Rd, Suite B, Gulfport, MS 39503-4183 |
| Ruth Bishop | Nurse Practitioner | Memorial Hospital At Gulfport | 1408 44th Ave, Gulfport, MS 39501-2554 |
| Street Address |
4433 LEISURE TIME DR |
| City | DIAMONDHEAD |
| State | MS |
| Zip | 39525-3259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Rippon | Critical Care (intensivists) | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Carl Ramsey | Anesthesiology | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Mary E Symmes | Nurse Practitioner | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Dana H Albrecht | Nurse Practitioner | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Maya Mathew | Radiation Oncology | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Ann D Hughley | Internal Medicine | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Kelly Cowan | Nurse Practitioner | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Thu Thanh Tran | Nurse Practitioner | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Maria G Robinson | Nurse Practitioner | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Allison P Wall | Hematology/oncology | Memorial Hospital At Gulfport | 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desmond W Hoda | Chiropractic | 4308 Park Ten Dr, Diamondhead, MS 39525-3222 | |
| Barbara Denise Franceski | Nurse Practitioner | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Barbara R Higgins | Nurse Practitioner | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Bita A Ghaffari | Family Medicine | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Carol A Smith | Emergency Medicine | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Ann S Reed | Nurse Practitioner | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| David F Roberts | Family Medicine | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Pamela L Giveans | Nurse Practitioner | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Robert L Crosby Iii | Pulmonary Disease | Memorial Hospital At Gulfport | 4300 Leisure Time Dr, Diamondhead, MS 39525-3241 |
| Elizabeth Shanks | Physical Therapy | Community Rehab of Greenville Inc | 4387 Leisure Time Dr, Diamondhead, MS 39525-3242 |
| Find all physicians in zip 39525 | |||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DIAMONDHEAD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ronald F Kellum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.