DELTA PHYSICIAN PRACTICES (NPI# 1295854206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295854206 |
Entity Type | Organization |
Organization Name | DELTA PHYSICIAN PRACTICES |
Practice Address |
1513 E Union St Greenville MS 38703-3249 |
Mailing Address |
Po Box 23998 Jackson MS 39225-3998 |
Practice Telephone | 6623349712 |
Practice Fax Number | 6623329703 |
Mailing Telephone | 6627252749 |
Mailing Fax Number | 6627252741 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2008-07-02 |
Authorized Official Name | LELAND RAY HUMPHREYS (CEO) |
Authorized Official Telephone | 6623783783 |
Is Organization Subpart | Y |
Parent Organization Name | DELTA PHYSICIAN PRACTICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09015100 | 05 | |
AR | 156272002 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891814802 | Delta Physician Practices | Nurse Practitioner | 302 Arnold Ave, Greenville, MS 38701-4711 | 2007-03-29 |
1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
1598038184 | Delta Physician Practices | Obstetrics & Gynecology | 129 E Starling St, Greenville, MS 38701-4725 | 2012-02-14 |
1598086639 | Delta Physician Practices | Nurse Practitioner | 930 Main St, Greenville, MS 38701-4111 | 2010-06-11 |
1235258252 | Delta Physician Practices | Pediatrics | 526 Fairview Ave, Greenville, MS 38701-5401 | 2007-03-29 |
1811016827 | Delta Physician Practices | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2007-03-29 |
1790804714 | Delta Physician Practices | Pediatrics | 227 E Starling St, Greenville, MS 38701-4772 | 2007-03-29 |
1518086537 | Delta Physician Practices | Family Medicine | 1727 E Union St, Greenville, MS 38703-3253 | 2007-03-29 |
1417076431 | Delta Physician Practices | Emergency Medicine | 1400 E Union St, Greenville, MS 38703-3246 | 2007-03-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DELTA PHYSICIAN PRACTICES | 1693 Fairground Rd, Greenville, MS 38703-7810 |
Street Address |
1513 E UNION ST |
City | GREENVILLE |
State | MS |
Zip Code | 38703-3249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
1083764542 | Delta Regional Medical Center | Clinic/Center | 1513 E Union St, Greenville, MS 38703-3249 | 2007-01-10 |
1780604066 | Patricia E Hemphill | Nurse Practitioner | 1513 E Union St, Greenville, MS 38703-3249 | 2006-07-20 |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
1760770333 | Gregory Harris | Internal Medicine | 2340 Hemby Ln Ste 100, Greenville, NC 27834-3792 | 2011-07-18 |
1457641466 | Christopher French | Internal Medicine | 4211 Joe Ramsey Blvd E Ste 108, Greenville, TX 75401-7858 | 2011-04-11 |
1528225356 | Matthew B Sellers | Internal Medicine | 2 Innovation Dr., Ste. 400, Greenville, SC 29607-5270 | 2008-05-20 |
1093822421 | Lee A. Surkin | Internal Medicine | 2459 Emerald Pl Ste 102, Greenville, NC 27834-5739 | 2006-08-23 |
1992716732 | Kenneth A Hahn | Internal Medicine | 1306 Hospital St, Greenville, MS 38703-3215 | 2006-08-10 |
1578582441 | Cynthia Lynn Kues | Internal Medicine | 404 Durley St, Greenville, IL 62246-1504 | 2006-07-19 |
1326077058 | Michael Mansour | Internal Medicine | 1315 E Union St, Greenville, MS 38703-3245 | 2006-07-03 |
1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
1952364200 | James L Young Jr. | Internal Medicine | 14 Edgewood Drive, Greenville, SC 29605 | 2006-04-08 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on DELTA PHYSICIAN PRACTICES.
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.