Raven Ladner (NPI# 1740549781, PAC ID# 8729211164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740549781 |
| PAC ID by PECOS | 8729211164 |
| Professional Enrollment ID | I20151012002123 |
| Full Name | Raven Ladner |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Address |
12261 Hwy 49 Suite 11 Gulfport MS 39503-2976 |
| Phone Number | 2288675185 |
| Gender | F |
| Graduation Year | 2012 |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 | 2288675185 | 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 |
12261 HWY 49 SUITE 11 |
| City | GULFPORT |
| State | MS |
| Zip | 39503-2976 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Coleman | Nurse Practitioner | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| James S Holland | Allergy/immunology | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Jada Cooper | Nurse Practitioner | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Summer Lyn Marcellus | Occupational Therapy | Exceed Physical Therapy LLC | 12261 Hwy 49, Suite 1, Gulfport, MS 39503-2976 |
| Latisha M Fleming | Nurse Practitioner | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Maggie Elizabeth Smith | Physical Therapy | Exceed Physical Therapy LLC | 12261 Hwy 49, Suite 1, Gulfport, MS 39503-2976 |
| Nyron T Marshall | Internal Medicine | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Joel B Burwell | Family Medicine | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Catherine B Haynes | Nurse Practitioner | Memorial Hospital At Gulfport | 12261 Hwy 49, Suite 11, Gulfport, MS 39503-2976 |
| Todd M Smith | Physical Therapy | Exceed Physical Therapy LLC | 12261 Hwy 49, Suite 1, Gulfport, MS 39503-2976 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
| Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
| Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
| Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Find all physicians in zip 39503 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GULFPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raven Ladner.
| 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.