DR. PATRICK ELLISON SEWELL JR. (NPI# 1043321326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043321326 |
| Entity Type | Individual |
| Full Name | DR. PATRICK ELLISON SEWELL JR. |
| Credential | M.D. |
| Practice Address |
1421 E Peace St A Canton MS 39046-4938 |
| Practice Telephone | 6018322643 |
| Mailing Telephone | 6018322643 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
14876 | MS | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
14876 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836284 | Patrick E. Sewell Sr. | Psychiatry & Neurology | 3311 Line Ave., Shreveport, LA 71104 | 2009-08-20 |
| Street Address |
1421 E PEACE ST A |
| City | CANTON |
| State | MS |
| Zip Code | 39046-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144675299 | Kelly Sellers | Speech-Language Pathologist | 1421 E Peace St, Canton, MS 39046-4938 | 2016-04-26 |
| 1992167944 | Calli O'connor | Occupational Therapy Assistant | 1421 E Peace St, Canton, MS 39046-4938 | 2016-03-28 |
| 1285927814 | Madison Hma Physician Management, LLC | Hospitalist | 1421 E Peace St, Canton, MS 39046-4938 | 2011-05-16 |
| 1578708269 | Madison Hma | Psychiatric Unit | 1421 E Peace St, Canton, MS 39046-4938 | 2008-12-09 |
| 1629237656 | The Children's Medical Group | Pediatrics | 1421 E Peace St, Canton, MS 39046-4938 | 2008-06-05 |
| 1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
| 1477746048 | Madison Hma Physician Management, Inc.-surgery | Surgery | 1421 E Peace St, Canton, MS 39046-4938 | 2007-08-27 |
| 1568655132 | Madison Hma Physician Management, Inc.-crnas | Anesthesiology | 1421 E Peace St, Canton, MS 39046-4938 | 2007-08-27 |
| 1740471572 | North Madison Surgical Group | Surgery | 1421 E Peace St, Suite B, Canton, MS 39046-4938 | 2007-08-07 |
| 1922299759 | Canton Cardiology Clinic | Family Medicine | 1421 E Peace St, Suite D, Canton, MS 39046-4938 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458766 | Domenic A. Zambuto | Radiology | 110 Albany Tpke, 209, Canton, CT 06019-2547 | 2005-12-20 |
| 1598319386 | Madison C Schwarzentraub | Radiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2019-07-30 |
| 1558523787 | Mitryan Kar | Radiology | 2600 Sixth St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2008-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825540 | Gulf Coast Vascular Care, LLC | Radiology | 14219 Cook Rd, Biloxi, MS 39532-9719 | 2020-09-11 |
| 1093731895 | Vipin S Patel | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2006-07-14 |
| 1376157099 | Kathryn Taylor Parvin | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4699 | 2020-09-01 |
| 1780021170 | Ajinkya Shrinivas Desai | Radiology | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-27 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| 1871838490 | Premier Interventional Radiology Clinic | Radiology | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2012-12-07 |
| 1770832461 | Flowood Vascular Access, LLC | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2012-09-10 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1083936231 | North Florida Radiological Institute Inc | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2010-02-15 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.