DR. CLEON S NUNNALLY (NPI# 1104997998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104997998 |
| Entity Type | Individual |
| Full Name | DR. CLEON S NUNNALLY |
| Credential | M.D |
| Practice Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Mailing Address |
104 Mount Neches Rd Woodville TX 75979-9627 |
| Practice Telephone | 4093841951 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | C6458 | TX | Hospitals |
| Street Address |
1275 MARVIN HANCOCK DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203658 | John Michael Pauzauskie | Nurse Anesthetist, Certified Registered | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-05-27 |
| 1356713960 | Solitude Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-22 |
| 1942671961 | Country Road Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-16 |
| 1700200284 | Mh Drive Emergency Physicians Pllc | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-02-05 |
| 1457774648 | Texas Em-i Medical Services Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-01-24 |
| 1538392600 | Belinda Daniel | Nurse Practitioner | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2009-08-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1255481883 | Jimmy W. Spruill | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-01-12 |
| 1104855808 | Clinical Partners Pa - Jasper | Anesthesiology | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-07-03 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
| 1932553385 | Bbh Wbmc, LLC | General Acute Care Hospital | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2016-04-21 |
| 1497843940 | Baptist Health System Inc | General Acute Care Hospital | 3400 Highway 78 E, Jasper, AL 35502-3543 | 2006-10-10 |
| 1184682874 | S P Acquisition Corp. | General Acute Care Hospital | 1000 Highway 28, Jasper, TN 37347-3638 | 2006-05-02 |
| 1780643411 | Piedmont Mountainside Hospital, Inc. | General Acute Care Hospital | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2006-03-21 |
| 1003895947 | Little Company of Mary Hospital of Indiana, Inc | General Acute Care Hospital | 800 W 9th St, Jasper, IN 47546-2514 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CLEON S NUNNALLY.
| 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.