DR. VERNON A CHASE (NPI# 1356470983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356470983 |
| Entity Type | Individual |
| Full Name | DR. VERNON A CHASE |
| Credential | DR |
| Practice Address |
176 S Main St Pontotoc MS 38863-3311 |
| Mailing Address |
1309 Carrollville Ave Baldwyn MS 38824-1112 |
| Practice Telephone | 6624887640 |
| Practice Fax Number | 6624887675 |
| Mailing Telephone | 6013657721 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 05771 | MS | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 12626 | 05 |
| Street Address |
176 S MAIN ST |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1790222552 | Brittany Lashae Bevill | Speech-Language Pathologist | 176 S Main St, Pontotoc, MS 38863-3311 | 2017-01-31 |
| 1083806087 | Melissa Guntharp Lindsey | Pharmacist | 176 S Main St, Pontotoc, MS 38863-3311 | 2007-08-14 |
| 1841395191 | Pototoc Health Services Inc | Pharmacy | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-09-13 |
| 1609979053 | Pontotoc Health Services, Inc. | Clinic/Center | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-09-07 |
| 1720198641 | Pontotoc Health Services, Inc. | Ambulance | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| 1962512871 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| 1568572485 | Pontotoc Health Services, Inc. | Nursing Facility/Intermediate Care Facility | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1235673351 | Carla Chism | Speech-Language Pathologist | 2564 Highway 345, Pontotoc, MS 38863 | 2016-12-08 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1770995938 | Mississippi Professional Counseling Associates | Social Worker | 356a East Oxford Street, Pontotoc, MS 38863 | 2014-05-22 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| Find all providers in zip 38863 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491257 | Classie Bradford | Emergency Medical Technician, Basic | 810 Valencia St, Jackson, MS 39204-4744 | 2017-04-19 |
| 1386189074 | William Paul Richards | Emergency Medical Technician, Basic | 2220 China Grove Rd, Vicksburg, MS 39180-7709 | 2017-01-04 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1386061778 | Katherine Soldevila | Emergency Medical Technician, Basic | 830 South Glosser Street, Tupelo, MS 38801 | 2014-03-24 |
| 1679896658 | Bryan Ashley Breland I | Emergency Medical Technician, Basic | 85 App Slade Rd, Hattiesburg, MS 39401-8744 | 2010-03-05 |
| 1669955068 | Eric H Messenger | Emergency Medical Technician, Basic | 711 Poplar St, Clarksdale, MS 38614-4957 | 2018-09-11 |
| 1144592841 | Brandon Wade Saksa | Emergency Medical Technician, Basic | 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 | 2012-01-27 |
| 1881991743 | Sunil Kumar | Emergency Medical Technician, Basic | 921 W Beacon St, Philadelphia, MS 39350-3229 | 2011-02-11 |
| 1104900968 | Jon Stephen Ashley | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
| 1386728152 | Jeffrey Lee Harden | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
| 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.