Dr Guy M Shoaf, MD | |
960 J K Avent Drive, 3 Main, Grenada, MS 38901 | |
(662) 227-7575 | |
(662) 227-7577 |
Full Name | Dr Guy M Shoaf |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 24 Years |
Location | 960 J K Avent Drive, Grenada, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548255409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD33918 (District Of Columbia) | Secondary |
208800000X | Urology | 20458 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
University Of Mississippi Med Center | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 782 |
Memorial Hospital At Gulfport | 2466524012 | 385 |
Entity Name | Oxford Urology Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548327273 PECOS PAC ID: 1951336148 Enrollment ID: O20050927000599 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Dr Guy M Shoaf, MD 2500 North State Street, Cbo - Suite 4200, Jackson, MS 39216-4500 Ph: (601) 496-9794 | Dr Guy M Shoaf, MD 960 J K Avent Drive, 3 Main, Grenada, MS 38901 Ph: (662) 227-7575 |