Active NPI
Bruce Sabatino, MD
- Emergency Medicine Physician
- Booneville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13674
- Practice address
- 100 Hospital St
Baptist Memorial Hospital - Ed
Booneville, MS 38829-3354 - Phone
- (662) 720-5404
- Fax
- (662) 720-5450
- NPI assigned
- May 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13674 | MS | Primary |
| Emergency Medicine Physician | 207P00000X | 29085 | GA | |
| Emergency Medicine Physician | 207P00000X | NC |
Addresses
Primary practice location
100 Hospital St
Baptist Memorial Hospital - Ed
Booneville, MS 38829-3354
Mailing address
649 Saint Ives Walk
Monroe, GA 30655-1979
Phone (770) 207-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29085 | GA | MD | Emergency Medicine Physician |
| 200000129 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sunflower County Hospital | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Yazoo Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Independent Healthcare Management, Inc, | Current | Accepting new patients | |
| Leake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Covenant Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| North Georgia Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Chestatee Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Webster Health Services, Inc. | Past | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
Locations
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba S. E. Lackey Memorial Hospital
- Critical Access Hospital
- Forest, MS
- NPI 1649592791
-
dba S E Lackey Memorial Hospital
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
dba 35 South Family Medical
- Rural Health Clinic/Center
- Raleigh, MS
- NPI 1871272724
-
- Emergency Medicine Physician
- Carthage, MS
- NPI 1669028130
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
dba Delta Surgical Clinic
- Clinic/Center
- Indianola, MS
- NPI 1487685897
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
-
- Emergency Medical Services (Emergency Medicine) Physician
- Indianola, MS
- NPI 1972711927
-
- Emergency Medicine Physician
- Yazoo City, MS
- NPI 1447806914
-
- Emergency Medicine Physician
- Natchez, MS
- NPI 1700835550
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932157591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 SAINT IVES WALK",
"city": "MONROE",
"state": "GA",
"postal_code": "306551979",
"telephone_number": "770-207-0261",
"fax_number": "770-207-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL ST",
"address_2": "BAPTIST MEMORIAL HOSPITAL - ED",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293354",
"telephone_number": "662-720-5404",
"fax_number": "662-720-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABATINO",
"first_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "13674",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "29085",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.