NPIMap

Organization Active NPI

Delta Regional Anesthesiology Group

  • Anesthesiology Physician
  • Greenville, MS
National Provider Identifier
1720059249
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DELTA REGIONAL ANESTHESIOLOGY GROUP
Practice address
1400 E Union St
Greenville, MS 38703-3246
Phone
(662) 334-2005
Fax
(662) 334-2189
NPI assigned
Feb 1, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DELTA REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Lee Ann Bowlin
Title
Physician Recruitment Coordinator
Phone
(662) 334-2005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

1400 E Union St
Greenville, MS 38703-3246

Mailing address

PO Box 235019
Montgomery, AL 36123-5019
Phone (800) 232-5703

National Provider Directory

National Provider Directory
Part of
Delta Regional Anesthesiology Group

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1720059249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "800-232-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033246",
            "telephone_number": "662-334-2005",
            "fax_number": "662-334-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REGIONAL ANESTHESIOLOGY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA REGIONAL HOSPITAL",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN RECRUITMENT COORDINATOR",
        "authorized_official_telephone_number": "662-334-2005"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.