Organization Active NPI

Delta Radiology PLLC

  • Vascular & Interventional Radiology Physician
  • Cleveland, MS
National Provider Identifier
1194048231
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DELTA RADIOLOGY PLLC
Practice address
901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone
(601) 708-4095
NPI assigned
Mar 3, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Patrick Ellison Sewell Jr., MD
Title
President
Phone
(601) 708-4095

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

810 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 579-3484

907 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 843-8801

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

NPPES NPI Registry

Primary practice location

901 E Sunflower Rd
Cleveland, MS 38732-2833

Mailing address

PO Box 468
Berwick, PA 18603-0468
Phone (610) 956-0003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2010.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1194048231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186030468",
            "telephone_number": "610-956-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322833",
            "telephone_number": "601-708-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ELLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-708-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.