DELTA VEIN AND ARTERY CENTER, P. C. (NPI# 1366499576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366499576 |
| Entity Type | Organization |
| Organization Name | DELTA VEIN AND ARTERY CENTER, P. C. |
| Practice Address |
810 E Sunflower Rd Suite 100 E Cleveland MS 38732-2800 |
| Practice Telephone | 6628466034 |
| Practice Fax Number | 6628466260 |
| Mailing Telephone | 6628466034 |
| Mailing Fax Number | 6628466260 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN L. HERZOG (PRESIDENT) |
| Authorized Official Telephone | 6628466034 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
09800 | MS | Ambulatory Health Care Facilities |
| Street Address |
810 E SUNFLOWER RD SUITE 100 E |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168350 | Paul Warrington | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2006-03-16 |
| 1104332089 | Clare Adams Moore | Nurse Practitioner | 810 E Sunflower Rd, Cleveland, MS 38732-2800 | 2017-12-14 |
| 1366966228 | Matthew Jackson Mosow | Physical Medicine & Rehabilitation | 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 | 2017-08-01 |
| 1518394287 | Urgent Team Management of Cleveland, LLC | Clinic/Center | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2013-09-26 |
| 1467794578 | The Medical Technology Institute | Nurse Practitioner | 810 E Sunflower Rd, Suite J, Cleveland, MS 38732-2800 | 2013-03-27 |
| 1902176373 | Long Chiropractic Pllc | Chiropractor | 810 E Sunflower Rd, Suite 100 E, Cleveland, MS 38732-2800 | 2012-01-03 |
| 1184994634 | Joy Victoria Long | Chiropractor | 810 E Sunflower Rd, Suite 100e, Cleveland, MS 38732-2800 | 2011-12-30 |
| 1235414145 | Melanie King | Nurse Practitioner | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2011-10-12 |
| 1639477425 | Mary Cay Brooks Ely | Nurse Practitioner | 810 E Sunflower Rd, Ste 140, Cleveland, MS 38732-2800 | 2011-03-03 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers in the same location | ||||
| 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 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1326048182 | Preterm Cleveland Inc | Clinic/Center | 12000 Shaker Blvd, Cleveland, OH 44120-1922 | 2005-07-22 |
| 1821095910 | Surgery Center | Clinic/Center | 19250 Bagley Rd, Cleveland, OH 44130-3314 | 2005-07-05 |
| 1992172019 | Emergency Hospital Systems LLC | Clinic/Center | 1017 S Travis Ave, Cleveland, TX 77327-5152 | 2015-08-24 |
| 1720268279 | Pearl Road Surgery Center, LLC | Clinic/Center | 6900 Pearl Rd, Cleveland, OH 44130-3604 | 2007-11-13 |
| 1487742680 | Novamed Surgery Center of Cleveland LLC | Clinic/Center | 137 25th St Ne, Cleveland, TN 37311-3944 | 2006-10-11 |
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| 1912480070 | Sog Surgery Center LLC | Clinic/Center | 1211 S Gloster St Ste B, Tupelo, MS 38801-6535 | 2018-09-13 |
| 1942793823 | Starkville Surgery Center LLC | Clinic/Center | 110 Walker Way, Starkville, MS 39759-6607 | 2018-06-14 |
| 1194214510 | Specialty Surgery & Laser Center | Clinic/Center | 306 Bradley Rd Ste A, Corinth, MS 38834-7047 | 2018-05-02 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
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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.