ACS EMERGENCY SERVICES OF MISSISSIPPI PROFESSIONAL ASSOCIATION (NPI# 1396996997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396996997 |
| Entity Type | Organization |
| Organization Name | ACS EMERGENCY SERVICES OF MISSISSIPPI PROFESSIONAL ASSOCIATION |
| Practice Address |
901 E Sunflower Rd Cleveland MS 38732-2833 |
| Mailing Address |
Po Box 636232 Cincinnati OH 45263-6232 |
| Practice Telephone | 6628460061 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. RANDAL L DABBS (PRESIDENT) |
| Authorized Official Telephone | 8652935210 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05726769 | 05 |
| Street Address |
901 E SUNFLOWER RD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032665 | Jack Bittell Sewell | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2005-09-01 |
| 1356733265 | G & G Health Services, LLC | Specialist | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2015-03-02 |
| 1962822692 | Catherine Tanner Petzinger | Surgery | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2014-04-21 |
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1952537938 | Nouveau Anesthesia Medical Group | Anesthesiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2009-06-04 |
| 1891968327 | Edward Kofi Lartevi Md Pmc | Emergency Medicine | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-04-04 |
| 1306916937 | Bolivar Pathology Services | Clinical Medical Laboratory | 901 E Sunflower Rd, 901 Hwy 8 East, Cleveland, MS 38732-2833 | 2006-11-09 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255216 | Front Door Medicine Pllc | Emergency Medicine | 3276 Chestnut Cir Nw, Cleveland, TN 37312-2113 | 2017-06-13 |
| 1497173033 | Cathleen Bury | Emergency Medicine | 9105 Cedar Rd E Building, Cleveland, OH 44195-0001 | 2014-04-01 |
| 1033554290 | Robert Michael Hughes | Emergency Medicine | 111000 Euclid Ave., University Hospitals Case Medical Center, Cleveland, OH 44106 | 2013-05-01 |
| 1386987220 | Brian Christopher Rees | Emergency Medicine | 11100 Euclid Ave # B517, Cleveland, OH 44106-1716 | 2013-03-28 |
| 1821385436 | Matthew Christopher Kostura | Emergency Medicine | 9500 Euclid Ave / E19, Cleveland Clinic / Emergency Services Institute, Cleveland, OH 44195 | 2011-07-03 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1750545398 | Longhorn Emergency Physicians | Emergency Medicine | 1017 S Travis Street, Cleveland, TX 77327-5152 | 2008-07-14 |
| 1346440468 | Erin Murphy Gaugler | Emergency Medicine | 300 N Commons Blvd, Cleveland, OH 44143-1589 | 2007-07-18 |
| 1790986206 | Joshua Gabriel Kubit | Emergency Medicine | 9500 Euclid Ave # E19, Cleveland, OH 44195 | 2007-05-30 |
| 1306854351 | Patrick Lynch | Emergency Medicine | 934 Beech Hill Rd, Cleveland, OH 44143-3505 | 2006-08-04 |
| Find all providers in CLEVELAND | ||||
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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.