Kelly R O Reilly (NPI# 1558599837, PAC ID# 9931395910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1558599837 |
| PAC ID by PECOS | 9931395910 |
| Professional Enrollment ID | I20101202000625 |
| Full Name | Kelly R O Reilly |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Address |
1421 N State St Suite 203 Jackson MS 39202-1658 |
| Phone Number | 6019844540 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1850293036 |
| Number of Group Practice Members | 811 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 6019844540 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| 2500 N State St, Jackson, MS 39216-4500 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Physicians | 939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Turner | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 |
| Nawal Shaikh | Neurology | State of Mississippi-university of Mississippi Medical Center | 2500 N State St, Jackson, MS 39216-4500 |
| Stacey Kitchens | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 |
| Michal Senitko | Pulmonary Disease | State of Mississippi-university of Mississippi Medical Center | 1900 Grandview Dr, Grenada, MS 38901-5066 |
| Amanda B. Greene | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 |
| Wayne S Orr | General Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| John C Simmons | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 5 Medical Blvd C, Hattiesburg, MS 39401-7231 |
| Christophor Reed | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Antonio A Gamble | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 960 Avent Dr, Grenada, MS 38901-5230 |
| Cynthia O Field | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 4400 Old Canton Rd, Suite 3, Jackson, MS 39211-5982 |
| Street Address |
1421 N STATE ST SUITE 203 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Adrienne Sizer-johnson | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| John W Bethea Jr. | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Gailen D Marshall | Allergy/immunology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Cornell D Graham | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Lakshmi Kurnutala | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| John H Hammett | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| William Thompson | Plastic and Reconstructive Surgery | 1421 N State St, Suite 504, Jackson, MS 39202-1658 | |
| John J Sheehan | Gastroenterology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Harris R Baig | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kelly R O Reilly.
| 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.