RONALD DWAYNE DELRIE JR.


Address: 1501 Aston Ave, Mccomb, MS 39648-2734
Phone: 6012495510

RONALD DWAYNE DELRIE JR. (NPI# 1689850620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689850620
Entity Type Individual
Full Name RONALD DWAYNE DELRIE JR.
Credential M.D.
Practice Address 1501 Aston Ave
Mccomb
MS 39648-2734
Practice Telephone 6012495510
Mailing Telephone 6012495510
Enumeration Date 2008-01-20
Last Update Date 2020-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 002147 GA Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
24455 MS Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
205787 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA RAILROAD MEDICARE P01123394 01
LA 2310178 05
MS 04554501 05

Office Location

Street Address 1501 ASTON AVE
City MCCOMB
State MS
Zip Code 39648-2734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730292798 Burnett Hanson Radiology 1501 Aston Ave, Mccomb, MS 39648-2734 2006-08-16
1750756367 Mary Christina Boyte Nurse Practitioner 1501 Aston Ave, Mccomb, MS 39648-2734 2015-12-08
1467700666 Southwest Mississippi Regional Medical Center General Acute Care Hospital 1501 Aston Ave, Mccomb, MS 39648-2734 2012-08-17
1609074889 Burnett Hanson Md Pllc Specialist 1501 Aston Ave, Mccomb, MS 39648-2734 2007-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952910366 Ct Stamps Inc Pharmacy 206 Marion Avenue, Mccomb, MS 39648 2020-07-31
1952910457 Fresenius Medical Care East Mccomb Dialysis, LLC Clinic/Center 103 Business Center Drive, Mccomb, MS 39648 2020-07-30
1902423312 Joseph Edward Mingo II Counselor 513 Lee St, Mccomb, MS 39648 2020-07-01
1427608769 Benda Truvillion Technician 2128 Park Dr. Ext., Mccomb, MS 39648 2019-09-18
1295228187 Edna Ruth Winston Counselor Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 2018-06-14
1386153450 Sholitha Nunnery Counselor 502 North Cherry Street, Mccomb, MS 39648 2017-09-21
1548600612 Jordan Harrington Nurse Practitioner 303 Marion Ave., Mccomb, MS 39648 2013-07-03
1891096236 Zwound Care Family Medicine 1126 Country Club Road, Mccomb, MS 39648 2010-11-16
1588891717 Kelly Edmondson Physical Therapy Assistant 1301a Harrison Ave, Mccomb, MS 39648 2009-06-15
1962647651 Gwendolyn Michelle Brown Home Health Aide 1114 1/2 Venable St., Mccomb, MS 39648 2008-12-09
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710365630 Grenada Hematology Oncology LLC Internal Medicine 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 2015-05-12
1720241201 Jennifer T Eubanks Internal Medicine 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 2008-07-06
1780713966 Jackson Oncology Associates, Pllc Internal Medicine 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 2007-03-05
1346379500 Jackson Oncology Associates,pllc Internal Medicine 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 2007-03-05
1023147204 Jackson Oncology Associates, Pllc Internal Medicine 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 2007-03-05
1760585178 Rose Cancer Center PC Internal Medicine 807 Robb Street, Summit, MS 39666 2006-09-07
1215960786 Wail Alnas Internal Medicine 345 Baptist Blvd, Columbus, MS 39705 2006-07-08
1760415608 Benton M Wheeler Internal Medicine 504 Azalea Dr Ste A, Oxford, MS 38655-5397 2006-07-07
1801825781 Sonia M Benn Internal Medicine 7668 Airways Blvd, Southaven, MS 38671-5304 2006-07-02
1639119589 Justin T Baker Internal Medicine 1227 N State St Ste 101, Jackson, MS 39202-2002 2006-06-08
Find all providers with the same taxonomy

Competitor

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City MCCOMB
Zip Code 39648

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Dataset Information

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.

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