Delta Wound Care PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

Legal business name

DELTA WOUND CARE PLLC

Practice address

907 E Sunflower Rd
Suite 102
Cleveland, MS 38732-2830

Phone

(662) 545-4443

Fax

(662) 545-4351

NPI assigned

Mar 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick E Sewell, MD

Title

Managing Member/Owner

Phone

(662) 721-8877

Specialties & licenses 2

Addresses

Practitioners 1

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

• Charles Raymond Jordan, FNP

  • Family Nurse Practitioner
  • Grenada, MS
  • NPI 1306126263
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1235404377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 HILLCREST CIR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322008",
            "telephone_number": "662-721-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E SUNFLOWER RD",
            "address_2": "SUITE 102",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322830",
            "telephone_number": "662-545-4443",
            "fax_number": "662-545-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "662-721-8877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Soul Medical Homecare
• Delta Soul Medical Homecare, LLC
• Delta Soul Medical, LLC
• Delta State University
• Delta Vein and Artery Center, P. C.
• Delta Wound Care Services Inc.
• Mallory McKnight Dill
• Anna Marie Dobbins, PHARMD
• Wayne Anthony Dotson, MD
• Dynamic Cleveland Operating Company LLC

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.