GEORGE REGIONAL ER PHYSICIANS (NPI# 1043690936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043690936 |
| Entity Type | Organization |
| Organization Name | GEORGE REGIONAL ER PHYSICIANS |
| Practice Address |
859 Winter St Lucedale MS 39452-6603 |
| Mailing Address |
Po Box 1007 Lucedale MS 39452-1007 |
| Practice Telephone | 6019473161 |
| Practice Fax Number | 6019471331 |
| Mailing Telephone | 6019471332 |
| Mailing Fax Number | 6019471331 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | MS. KATHY FENDER (ADMINISTRATOR) |
| Authorized Official Telephone | 6019478181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01839854 | 05 |
| Street Address |
859 WINTER ST |
| City | LUCEDALE |
| State | MS |
| Zip Code | 39452-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770552259 | William Frank Mcarthur | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2006-03-16 |
| 1932765625 | Grhs Hospital Pediatricians | Pediatrics | 859 Winter St, Lucedale, MS 39452-6603 | 2019-05-17 |
| 1407379084 | Edward Eray Howell | Registered Nurse | 859 Winter St, Lucedale, MS 39452-6603 | 2017-07-25 |
| 1114389541 | Jo'el Cheri Welch | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2016-03-24 |
| 1871978403 | Frankie Mixon | Nurse Practitioner | 859 Winter St, Lucedale, MS 39452-6603 | 2015-07-24 |
| 1982023149 | Christopher Shane Blomberg | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2014-04-15 |
| 1992059315 | Cmc Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1982958302 | Wiggins Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1750648515 | George Regional Hospital | General Acute Care Hospital | 859 Winter St, Lucedale, MS 39452-6603 | 2012-04-18 |
| 1033476288 | David A Brentz | Nurse Anesthetist, Certified Registered | 859 Winter St, Lucedale, MS 39452-6603 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420609 | Jennifer K. Walker | Massage Therapist | 352 Oak Street, Lucedale, MS 39452 | 2010-06-29 |
| 1780827543 | David J.conner D.d.s. | Dentist | 17215 Hwy 26, Lucedale, MS 39452 | 2009-04-09 |
| 1285873042 | Rebecca Graves | Nurse Practitioner | 92 W Ratliff St, Lucedale, MS 39452 | 2009-02-18 |
| 1639381791 | George County School District | Registered Nurse | Rocky Creek Elementary, 2183 Rocky Creek Road, Lucedale, MS 39452 | 2007-05-03 |
| 1386856425 | George County School District | Registered Nurse | Central Elementary School, 14159 Hwy 26 West, Lucedale, MS 39452 | 2007-05-03 |
| 1730301961 | George County School District | Registered Nurse | Agricola Elementary School, 6165 Hwy 613, Lucedale, MS 39452 | 2007-05-03 |
| 1932311156 | George County School District | Registered Nurse | Lucedale Elementary School, 689 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1295947471 | George County School District | Registered Nurse | George County Middle School, 330 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1952522583 | David J. Conner | Dentist | 17215 Highway 26 W, Lucedale, MS 39452 | 2007-05-01 |
| 1225258676 | Keith A Brown | Dentist | 16 Plaza Drive, Lucedale, MS 39452 | 2007-04-26 |
| Find all providers in zip 39452 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603330 | Charmaine Lillian Mccleave | Emergency Medicine | 69 Jackson Rd, Hattiesburg, MS 39402 | 2009-03-09 |
| 1144344151 | David L. Merideth | Emergency Medicine | 407b W Parkway Pl, Ridgeland, MS 39157-6031 | 2007-03-16 |
| 1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
| 1114087483 | David Butler Johnson | Emergency Medicine | 806 Crestview Dr, Yazoo City, MS 39194-2511 | 2006-12-09 |
| 1952323073 | Pratt Family Medical Clinic, P.a. | Emergency Medicine | 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 | 2006-07-25 |
| 1730106600 | Sean Brian Appleyard | Emergency Medicine | Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 | 2006-07-16 |
| 1699703389 | Lisa D Anderson | Emergency Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-06-29 |
| 1265486450 | Emmanuel Kpabitey | Emergency Medicine | 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 | 2006-05-20 |
| 1184614984 | Harvie D Harrier | Emergency Medicine | 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 | 2005-10-24 |
| 1669904058 | Daniel Krebs | Emergency Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
| 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.