DELTA PHYSICIAN PRACTICES (NPI# 1477672442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477672442 |
| Entity Type | Organization |
| Organization Name | DELTA PHYSICIAN PRACTICES |
| Practice Address |
344 Arnold Ave Greenville MS 38701-4711 |
| Mailing Address |
Po Box 23998 Jackson MS 39225-3998 |
| Practice Telephone | 6623328131 |
| Practice Fax Number | 6623344478 |
| Mailing Telephone | 6627252749 |
| Mailing Fax Number | 6627252741 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | LELAND RAY HUMPHREYS (CEO) |
| Authorized Official Telephone | 6623783783 |
| Is Organization Subpart | Y |
| Parent Organization Name | DELTA PHYSICIAN PRACTICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015100 | 05 | |
| AR | 156272002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891814802 | Delta Physician Practices | Nurse Practitioner | 302 Arnold Ave, Greenville, MS 38701-4711 | 2007-03-29 |
| 1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1598038184 | Delta Physician Practices | Obstetrics & Gynecology | 129 E Starling St, Greenville, MS 38701-4725 | 2012-02-14 |
| 1598086639 | Delta Physician Practices | Nurse Practitioner | 930 Main St, Greenville, MS 38701-4111 | 2010-06-11 |
| 1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
| 1235258252 | Delta Physician Practices | Pediatrics | 526 Fairview Ave, Greenville, MS 38701-5401 | 2007-03-29 |
| 1811016827 | Delta Physician Practices | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2007-03-29 |
| 1790804714 | Delta Physician Practices | Pediatrics | 227 E Starling St, Greenville, MS 38701-4772 | 2007-03-29 |
| 1518086537 | Delta Physician Practices | Family Medicine | 1727 E Union St, Greenville, MS 38703-3253 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DELTA PHYSICIAN PRACTICES | 1693 Fairground Rd, Greenville, MS 38703-7810 |
| Street Address |
344 ARNOLD AVE |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304881 | Deepali Ramdas Kale | Internal Medicine | 344 Arnold Ave, Greenville, MS 38701-4711 | 2005-08-26 |
| 1669806378 | William H Barber, Md | Surgery | 344 Arnold Ave, Greenville, MS 38701-4711 | 2013-08-29 |
| 1275824773 | Drmc Robert Neal Suares Jr Md | Clinic/Center | 344 Arnold Ave, Greenville, MS 38701-4711 | 2011-05-02 |
| 1164752358 | Lara Rabaa | Pediatrics | 344 Arnold Ave, Greenville, MS 38701-4711 | 2010-01-11 |
| 1710176961 | Bridget B Satterfield | Nurse Practitioner | 344 Arnold Ave, Greenville, MS 38701-4711 | 2007-10-23 |
| 1275733636 | Robert Neal Suares Jr. | Family Medicine | 344 Arnold Ave, Greenville, MS 38701-4711 | 2007-07-23 |
| 1821299389 | Robert L Curry Iv, Md Pa | Urology | 344 Arnold Ave, Greenville, MS 38701-4711 | 2007-05-30 |
| 1063622751 | Suares Eye Center Inc | Ophthalmology | 344 Arnold Ave, Greenville, MS 38701-4711 | 2007-05-23 |
| 1912117698 | Greenville Urology Group LLC | Urology | 344 Arnold Ave, Greenville, MS 38701-4711 | 2007-05-23 |
| 1760587778 | Robert L Curry | Urology | 344 Arnold Ave, Greenville, MS 38701-4711 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790213833 | Judson Chase Woollen | Surgery | 701 Grove Rd Fl 3, Greenville, SC 29605-4210 | 2017-06-02 |
| 1962792580 | Jessica Gonzalez Hernandez | Surgery | Carolina Surgical Associates Eastside, 135 Commonwealth Drive Ste 210, Greenville, SC 29615-4850 | 2011-04-15 |
| 1730406067 | Pablo Gabriel Giuseppucci | Surgery | 115 Woodshire Rd, Greenville, PA 16125-1215 | 2010-04-27 |
| 1831345081 | Bindhu Oommen | Surgery | 4215 Joe Ramsey Blvd E Ste 220, Greenville, TX 75401-7852 | 2008-08-07 |
| 1538377833 | David Joseph Skarupa | Surgery | 600 Moye Blvd, 2ed, Ecu Brody School of Medicine Dept of Surgery, Greenville, NC 27834 | 2007-05-18 |
| 1639385354 | Patricia Lynn Eichhorn | Surgery | 2104 Woodruff Road, Greenville, SC 29607 | 2007-05-16 |
| 1275690232 | I. H. Shah, M.d. and S. Hasan, M.d. and Associates | Surgery | 4004 Medical Parkway, Greenville, TX 75401 | 2007-01-02 |
| 1245316439 | Donald R Gilbert | Surgery | 2106 Woodruff Rd, Greenville, SC 29607 | 2006-10-31 |
| 1619059334 | John C Mobley | Surgery | 404 Wagner Ave, Greenville, OH 45331-2537 | 2006-10-20 |
| 1184712101 | Norman F. Mcgowin IIi | Surgery | 45 Medical Arts Ct Ste 4, Greenville, AL 36037-3872 | 2006-10-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
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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.