DELTA HEART & VASCULAR CENTER, P.A. (NPI# 1174506281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174506281 |
| Entity Type | Organization |
| Organization Name | DELTA HEART & VASCULAR CENTER, P.A. |
| Practice Address |
1421 E Union St Greenville MS 38703-3247 |
| Practice Telephone | 6623350183 |
| Practice Fax Number | 6623357184 |
| Mailing Telephone | 6623350183 |
| Mailing Fax Number | 6623357184 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | JOHN L HERZOG (CEO/MD) |
| Authorized Official Telephone | 6623350183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9016026 | 05 | |
| AR | 190990002 | 05 | |
| MS | RAILROAD MEDICARE | DA3016 | 01 |
| Street Address |
1421 E UNION ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346707338 | Esther Copeland | Nurse Practitioner | 1421 E Union St, Greenville, MS 38703-3247 | 2019-02-26 |
| 1407156730 | Melissa S Ferrell | Radiology Practitioner Assistant | 1421 E Union St, Greenville, MS 38703-3247 | 2010-11-03 |
| 1093734949 | John L Herzog Sr. | Internal Medicine | 1421 E Union St, Greenville, MS 38703-3247 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612439 | Drumm Enterprises, Inc | Clinic/Center | 12 Waite St Ste A1, Greenville, SC 29607-3215 | 2017-11-07 |
| 1316301146 | Pediatric Hair Solutions Corporation | Clinic/Center | 319 Garlington Rd, Suite C-7, Greenville, SC 29615-4620 | 2016-04-07 |
| 1245651819 | Palmetto Hospitalist Services LLC | Clinic/Center | 2131 Woodruff Rd Ste 2100, #269, Greenville, SC 29607-5959 | 2013-12-26 |
| 1144529983 | Delta Family Medical Services Inc | Clinic/Center | 1554 S Colorado St, Greenville, MS 38703-7219 | 2011-03-18 |
| 1760555346 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Greenville, SC 29615-5707 | 2006-11-15 |
| 1568480432 | Westside Medical Center | Clinic/Center | 3204 White Horse Rd Ste D, Greenville, SC 29611-5916 | 2006-07-18 |
| 1427010578 | Health Access Inc | Clinic/Center | 2610 Stantonsburg Rd, Greenville, NC 27834-5910 | 2006-04-04 |
| 1821600677 | Ash and Ivy Ltd Co | Clinic/Center | 880 S Pleasantburg Dr Ste 4d, Greenville, SC 29607-2453 | 2020-08-21 |
| 1801404058 | The Cagle Center of Wellness | Clinic/Center | 307 Rutherford St, Greenville, SC 29609-5309 | 2020-07-14 |
| 1962807560 | Abundant Life Chiropractic Inc | Clinic/Center | 1615 Wade Hampton Blvd, Suite B, Greenville, SC 29609-5062 | 2014-10-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on DELTA HEART & VASCULAR CENTER, P.A..
| 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.