Active NPI
Edward Lartevi, MD
- Emergency Medicine Physician
- Cleveland, MS
National Provider Identifier
1477576536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14217
- Practice address
- 901 E Sunflower Rd
Cleveland, MS 38732-2833 - Phone
- (662) 846-2505
- Fax
- (662) 846-2380
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14217 | MS | Primary |
Addresses
Primary practice location
901 E Sunflower Rd
Cleveland, MS 38732-2833
Mailing address
1313 W Sunflower Rd
#214
Cleveland, MS 38732-2401
Phone (504) 242-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14217 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC-Cleveland LLC | Past | Accepting new patients | |
| Edward Kofi Lartevi MD PMC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Cleveland, MS
- NPI 1891968327
Emergency Medicine
-
- Emergency Medicine Physician
- Cleveland, MS
- NPI 1366491102
Emergency Medicine
-
- Anesthesiology Physician
- Cleveland, MS
- NPI 1528158532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1477576536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 W SUNFLOWER RD",
"address_2": "#214",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322401",
"telephone_number": "504-242-9280",
"fax_number": "727-507-3618"
},
{
"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": "662-846-2505",
"fax_number": "662-846-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARTEVI",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "14217",
"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 Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.