Wirt F Shrock Jr. (NPI# 1497843676, PAC ID# 7315082989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1497843676 |
PAC ID by PECOS | 7315082989 |
Professional Enrollment ID | I20100308000111 |
Full Name | Wirt F Shrock Jr. |
Address |
630 Northwest Ave Doctor's Clinic Durant MS 39063-3337 |
Phone Number | 6626533012 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
251319 | HOLMES COUNTY HOSPITAL AND CLINICS |
251336 | BAPTIST MEDICAL CENTER ATTALA |
251313 | BAPTIST MEDICAL CENTER YAZOO |
Address | Phone | Organization |
---|---|---|
630 Northwest Ave, Doctor's Clinic, Durant, MS 39063-3337 | 6626533012 |
Street Address |
630 NORTHWEST AVE DOCTOR'S CLINIC |
City | DURANT |
State | MS |
Zip | 39063-3337 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathryn Conner Carroll | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
Leondrea Collins | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
Anita Greer | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
Renita F Cotton | Family Medicine | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
Calvin Ramsey | Internal Medicine | 403 Nw Depot St, Durant, MS 39063-3705 |
City | DURANT |
Zip Code | 39063 |
Specialty | FAMILY MEDICINE |
City + Specialty | DURANT + FAMILY MEDICINE |
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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.