THE MEDICAL TECHNOLOGY INSTITUTE (NPI# 1467794578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467794578 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL TECHNOLOGY INSTITUTE |
| Practice Address |
810 E Sunflower Rd Suite J Cleveland MS 38732-2800 |
| Mailing Address |
810 East Sunflower Road Suite J Cleveland MS 38732 |
| Practice Telephone | 6629313645 |
| Mailing Telephone | 6629313645 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | MARYANN REGINAL (OWNER/CEO) |
| Authorized Official Telephone | 6629313645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
810 E SUNFLOWER RD SUITE J |
| 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 |
| 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 |
| 1720216955 | Degail Jamar Hadley | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2009-06-25 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on THE MEDICAL TECHNOLOGY INSTITUTE.
| 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.