JOSEPH C. SUMRALL (NPI# 1417040015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417040015 |
| Entity Type | Individual |
| Full Name | JOSEPH C. SUMRALL |
| Credential | D.O. |
| Practice Address |
1102 Constitution Avenue Meridian MS 39302 |
| Mailing Address |
109 Kayfield Pl Madison MS 39110-6539 |
| Practice Telephone | 6014843357 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 18568 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346535887 | Joseph G Sumrall | Dentist | 100 S Houston Rd, Warner Robins, GA 31088-3904 | 2011-06-13 |
| 1003909243 | Joseph T. Sumrall Jr. | Dentist | 100 S Houston Rd, Warner Robins, GA 31088-3904 | 2006-10-02 |
| Street Address |
1102 CONSTITUTION AVENUE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619171 | Anderson Regional Medical Center | Medicare Defined Swing Bed Unit | 1102 Constitution Avenue, Meridian, MS 39301-4001 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922181932 | Judy Gayle Mosby | Nurse Practitioner | 1001 14th Street, Meridian, MS 39302-0000 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1821697749 | Ashley Weiss | Social Worker | 973 S Brook Trout Way, Meridian, ID 83642-7745 | 2020-10-21 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1730786328 | Idaho One Health Network, LLC | Clinical Medical Laboratory | 4455 S Meridian Rd, Meridian, ID 83642-6917 | 2020-10-06 |
| 1558968750 | Family Foot and Ankle of Idaho, LLC | Podiatrist | 349 W Bacall Dr, Meridian, ID 83646-7391 | 2020-10-01 |
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1225645526 | Mednow Infusion, LLC | Home Infusion | 800 S Industry Way Ste 240, Meridian, ID 83642-3559 | 2020-09-30 |
| 1962019513 | Jessica Rose Crocker-oswald | Social Worker | 13 E Ada Ave, Meridian, ID 83642-2725 | 2020-09-28 |
| 1992312565 | Doral Academy Idaho | Local Education Agency (LEA) | 2511 W Cherry Ln, Meridian, ID 83642-1135 | 2020-09-28 |
| Find all providers in MERIDIAN | ||||
| 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 |
|---|---|---|---|---|
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1295811867 | Randy Lee Barnes | Emergency Medicine | 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 | 2006-10-27 |
| 1588676597 | James Henderson | Emergency Medicine | 1201 22nd Ave Ste C, Meridian, MS 39301-4010 | 2006-08-12 |
| 1922044502 | Perry Wallace | Emergency Medicine | 2121 5th St, Suite 202, Meridian, MS 39301-5108 | 2006-06-21 |
| 1730133208 | Idaho Emergency Physicians, P.a. | Emergency Medicine | 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642-9055 | 2006-05-20 |
| 1235189622 | Travis W Robbins | Emergency Medicine | 1900 W Chinden Blvd, Meridian, ID 83646-6690 | 2006-05-10 |
| 1376167114 | Amy Michele Zappia | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2020-06-06 |
| 1780038711 | Alexander William Loehr | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2016-04-15 |
| 1043673833 | James Mark Shockley | Emergency Medicine | 2124 14th St, Meridian, MS 39301-4040 | 2016-03-30 |
| Find all providers in MERIDIAN | ||||
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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.