SOUTHSIDE EMERGENCY PHYSICIANS PC (NPI# 1346356631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346356631 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE EMERGENCY PHYSICIANS PC |
| Practice Address |
2204 Wilborn Ave South Boston VA 24592-1645 |
| Mailing Address |
Po Box 1115 South Boston VA 24592-1115 |
| Practice Telephone | 4345173832 |
| Practice Fax Number | 4345173649 |
| Mailing Telephone | 4345173515 |
| Mailing Fax Number | 4345724549 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CECIL F HAZELWOOD (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4345173515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | VA | Emergency Medical Service Providers |
| Street Address |
2204 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668842 | Halifax Regional Hospital, Inc. | General Acute Care Hospital | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2005-06-02 |
| 1871058008 | Angeline Marie Davis | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2019-02-01 |
| 1063931897 | Jon Michael Hughes | Nurse Practitioner | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-13 |
| 1265950646 | Mara Olivia Fiorio | Dietitian, Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-06 |
| 1942745526 | Alisyn L. Metz | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-01-05 |
| 1255876835 | Andrew D. Metz | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-01-05 |
| 1942743398 | Melaku Akele | Physical Therapist | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-12-01 |
| 1740730316 | Emily Silsby | Dietitian, Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-10-07 |
| 1023567153 | Mulbriar Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-09-30 |
| 1205381621 | Banister River Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417448978 | Dorothy Ann Hughes | Personal Emergency Response Attendant | 4308 Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2018-05-21 |
| 1194232058 | Daren Edward Smith | Personal Emergency Response Attendant | 6204 Plank Rd, Fredericksburg, VA 22407-6238 | 2018-01-01 |
| 1467690065 | Alma Reyes Paguio | Personal Emergency Response Attendant | 2301 S Wolfsnare Dr, Virginia Beach, VA 23454-3328 | 2009-02-04 |
| 1871759035 | Badria Albader | Personal Emergency Response Attendant | 1525 Laurel Hill Road, Vienna, VA 22182-1716 | 2008-08-06 |
| 1770790412 | Antoine Parnell Cornet | Personal Emergency Response Attendant | 7520 Long Pine Dr, Springfield, VA 22151-2819 | 2007-05-16 |
| 1003021502 | Us Navy | Personal Emergency Response Attendant | 5972 Beechwalk Dr, Virginia Beach, VA 23464-4917 | 2007-05-10 |
| 1265506802 | Margaret A Dolan | Personal Emergency Response Attendant | 3900 Old Gun Rd W, Midlothian, VA 23113-2023 | 2006-11-17 |
| 1144277765 | Clarence Scranage Jr. | Personal Emergency Response Attendant | 713 N Courthouse Rd, Suite 200, North Chesterfield, VA 23236-4074 | 2006-05-28 |
| 1598292781 | Medscope America Corporation | Personal Emergency Response Attendant | 4701 Cox Rd, Glen Allen, VA 23060-6802 | 2017-05-18 |
| 1992038525 | Xinde Song | Personal Emergency Response Attendant | 2 Bernardine Dr, Newport News, VA 23602-5963 | 2009-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on SOUTHSIDE EMERGENCY PHYSICIANS PC.
| 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.