XENOPHON MUCCIARONE (NPI# 1801216007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801216007 |
Entity Type | Individual |
Full Name | XENOPHON MUCCIARONE |
Credential | D.O. |
Practice Address |
300 N Patterson St Valdosta GA 31601-5519 |
Mailing Address |
3925 N Oak Street Ext Apt 309 Valdosta GA 31605-7618 |
Practice Telephone | 2294331000 |
Mailing Telephone | 2294431000 |
Enumeration Date | 2014-04-26 |
Last Update Date | 2020-08-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | R9113 | TX | Allopathic & Osteopathic Physicians |
Y | 207P00000X | Emergency Medicine | 5101021037 | MI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2501 N Patterson St, Valdosta, GA 316021735 | 2294331000 | |
50 N Perry St, Pontiac, MI 483422217 | 2483385392 |
Street Address |
300 N PATTERSON ST |
City | VALDOSTA |
State | GA |
Zip Code | 31601-5519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
Find all providers in zip 31601 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205878386 | Alan Stout | Emergency Medicine | 612 N Patterson St, Valdosta, GA 31601-4610 | 2006-06-12 |
1679542781 | Douglas Moss | Emergency Medicine | 814 Northwood Park Dr, Valdosta, GA 31602-1398 | 2006-03-14 |
1205804622 | Simon Adames | Emergency Medicine | 3386 Greystone Way, Valdosta, GA 31605-1096 | 2006-03-10 |
1801887161 | James C Eutzler | Emergency Medicine | 520 Griffin Ave, Valdosta, GA 31601-6331 | 2005-11-04 |
1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
1447701065 | Nes of Shelby Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-10-19 |
1992169692 | Keegan Anne Michel | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-04-08 |
1700248788 | Eric Brent Edgerton | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2016-03-28 |
1306208558 | Davis Page Lester | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2016-03-27 |
1932594850 | Shehzad Muhamed | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602 | 2015-03-30 |
Find all providers in VALDOSTA |
Please comment or provide details below to improve the information on XENOPHON MUCCIARONE.
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.