BOLIVAR EMERGENCY GROUP LLC (NPI# 1417194978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417194978 |
| Entity Type | Organization |
| Organization Name | BOLIVAR EMERGENCY GROUP LLC |
| Practice Address |
901 Hwy 8 East Sunflower Rd Cleveland MS 38732 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 6628460061 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | DR. WILLIAM C SCHUMACHER (CEO) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
901 HWY 8 EAST SUNFLOWER RD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| 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 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| 1023264934 | Borders-blackwell Medical & Wellness Corporation | Clinic/Center | 321 S Sharpe Ave, Post Office Box 1998, Cleveland, MS 38732 | 2008-08-12 |
| 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.