DELTA PHYSICIAN PRACTICES (NPI# 1467571430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467571430 |
| Entity Type | Organization |
| Organization Name | DELTA PHYSICIAN PRACTICES |
| Practice Address |
1202 Hospital St Greenville MS 38703-3213 |
| Mailing Address |
Po Box 23998 Jackson MS 39225-3998 |
| Practice Telephone | 6623356703 |
| Practice Fax Number | 6623356705 |
| Mailing Telephone | 6627252749 |
| Mailing Fax Number | 6627252741 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | LELAND RAY HUMPHREYS (CEO) |
| Authorized Official Telephone | 6623783783 |
| Is Organization Subpart | Y |
| Parent Organization Name | DELTA PHYSICIAN PRACTICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 156272002 | 05 | |
| MS | 09015100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891814802 | Delta Physician Practices | Nurse Practitioner | 302 Arnold Ave, Greenville, MS 38701-4711 | 2007-03-29 |
| 1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
| 1598038184 | Delta Physician Practices | Obstetrics & Gynecology | 129 E Starling St, Greenville, MS 38701-4725 | 2012-02-14 |
| 1598086639 | Delta Physician Practices | Nurse Practitioner | 930 Main St, Greenville, MS 38701-4111 | 2010-06-11 |
| 1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
| 1235258252 | Delta Physician Practices | Pediatrics | 526 Fairview Ave, Greenville, MS 38701-5401 | 2007-03-29 |
| 1811016827 | Delta Physician Practices | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2007-03-29 |
| 1790804714 | Delta Physician Practices | Pediatrics | 227 E Starling St, Greenville, MS 38701-4772 | 2007-03-29 |
| 1518086537 | Delta Physician Practices | Family Medicine | 1727 E Union St, Greenville, MS 38703-3253 | 2007-03-29 |
| 1417076431 | Delta Physician Practices | Emergency Medicine | 1400 E Union St, Greenville, MS 38703-3246 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DELTA PHYSICIAN PRACTICES | 1693 Fairground Rd, Greenville, MS 38703-7810 |
| Street Address |
1202 HOSPITAL ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1346241361 | Alfredo F. Gurmendi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4211 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 | 2005-08-02 |
| 1518964535 | Michael Cohron Trotter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 Hospital St, Greenville, MS 38703-3225 | 2005-07-05 |
| 1295209260 | Dustin Turner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-01-14 |
| 1407111081 | Hesham Z. Saleh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute- Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2012-07-10 |
| 1982987681 | Tai-leung Daniel Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute @ Ecu, Greenville, NC 27834-8944 | 2011-09-20 |
| 1265697080 | Joseph R. Elbeery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Ecu Physicians: Cardiothoracic Surgery, Greenville, NC 27834-4300 | 2008-07-21 |
| 1740447374 | Louis-mathieu Stevens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Greenville, NC 27834 | 2008-05-21 |
| 1639369887 | Sharon Ben-or | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 890 W Faris Rd, Suite 320, Greenville, SC 29605-4253 | 2007-07-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
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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.