MISSISSIPPI EM-I MEDICAL SERIVES PC (NPI# 1770964629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770964629 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EM-I MEDICAL SERIVES PC |
| Practice Address |
605 S Archusa Ave Quitman MS 39355-2331 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | GREGORY BYRNE (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942670930 | Mississippi Em-i Medical Serives PC | Physician Assistant | 1065 E Broad St, Monticello, MS 39654-7703 | 2015-10-02 |
| Street Address |
605 S ARCHUSA AVE |
| City | QUITMAN |
| State | MS |
| Zip Code | 39355-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383010 | Bonnie A. Woods | Nurse Anesthetist, Certified Registered | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2005-11-15 |
| 1538798582 | Melanie Chambers | Social Worker | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2020-04-02 |
| 1003045410 | Patsy Lenan Holloway | Nurse Practitioner | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2009-07-07 |
| 1508048489 | Chickasawhay Emergency Physicians LLC | Emergency Medicine | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-12-03 |
| 1659599090 | Rush Medical Foundation | Emergency Medicine | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-04-23 |
| 1477670966 | Rush Medical Foundation | Medicare Defined Swing Bed Unit | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2007-03-22 |
| 1912079625 | Rush Medical Foundation | General Acute Care Hospital | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2006-11-15 |
| 1780784421 | Jennifer D. Branstetter | Pharmacist | 605 S Archusa Ave, Quitman, MS 39355-2331 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154653848 | Amedisys Mississippi, L.L.C. | Home Health | 123 N. Archusa Avenue, Quitman, MS 39355 | 2010-02-04 |
| 1447340575 | Paratech Ems, Inc. | Ambulance | 111 East Church St, Quitman, MS 39355-0001 | 2006-10-12 |
| 1649719782 | V.i.s.a.r. Inc | In Home Supportive Care | 108 W Church St Ste B, Quitman, MS 39355-0099 | 2017-02-22 |
| 1780778084 | Donald Gene Traxler | Dentist | 303 A South Archusa Ave, Quitman, MS 39355-0159 | 2006-10-03 |
| 1619944287 | Glenn M Cochran | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2006-03-02 |
| 1922312388 | David M Holifield | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2010-07-27 |
| 1205080512 | Glenn M Cochran Od Pllc | Optometrist | 303 S Archusa Ave, Quitman, MS 39355-0690 | 2008-11-13 |
| 1477963817 | Mississippi State Department of Health | Public Health or Welfare | 426 W Donald St, Quitman, MS 39355-2000 | 2014-05-07 |
| 1740404805 | Hammack Drugs, LLC | Pharmacist | 101 W Donald St, Quitman, MS 39355-2013 | 2007-04-12 |
| 1801812185 | Hospice Care Group, LLC | Hospice Care, Community Based | 114 E Donald St, Quitman, MS 39355-2025 | 2006-07-13 |
| Find all providers in zip 39355 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185092 | North Mississippi Radiology Services LLC | Radiology | 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | 2019-03-26 |
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1851709851 | Telerad of Ms Account Management LLC | Radiology | 3201 Oakleigh Cir, Ocean Springs, MS 39564-5861 | 2014-07-23 |
| 1033532825 | Nadia Aboussouan Tyson | Radiology | 675 N Livingston Rd, Ridgeland, MS 39157-5034 | 2014-01-29 |
| 1124459490 | James Vaiden Ferguson Jr. | Radiology | 3638 Lyles Dr, Oxford, MS 38655-5709 | 2013-12-11 |
| 1487904173 | Mid Delta Radiology Associates, LLC | Radiology | 130 River Club Cir, Clarksdale, MS 38614-9725 | 2012-09-11 |
| 1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
| 1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
| 1134446743 | Thomas Edward Panico | Radiology | 4213 Lakeland Drive, Flowood, MS 39232-9212 | 2010-04-23 |
| 1487808408 | Gulf Shores Radiology Assoicates | Radiology | 1207 Wood Duck Cv, Oxford, MS 38655-7347 | 2008-11-05 |
| Find all providers with the same taxonomy | ||||
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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.