XENOPHON MUCCIARONE


Address: 300 N Patterson St, Valdosta, GA 31601-5519
Phone: 2294331000

XENOPHON MUCCIARONE (NPI# 1801216007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2501 N Patterson St, Valdosta, GA 316021735 2294331000
50 N Perry St, Pontiac, MI 483422217 2483385392

Office Location

Street Address 300 N PATTERSON ST
City VALDOSTA
State GA
Zip Code 31601-5519

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City VALDOSTA
Zip Code 31601

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Dataset Information

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.

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