DR. JOHN KEITH MANSEL (NPI# 1528242724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528242724 |
Entity Type | Individual |
Full Name | DR. JOHN KEITH MANSEL |
Other Name | DR. JOHN KEITH MANSEL |
Credential | M.D. |
Practice Address |
2500 N State Street Jackson MS 39216-4500 |
Practice Telephone | 6019845602 |
Practice Fax Number | 6019846439 |
Mailing Telephone | 6019845602 |
Enumeration Date | 2007-12-24 |
Last Update Date | 2016-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
08768 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICARE RAILROAD | P01064280 | 01 |
MS | 00115528 | 05 | |
MN | ENROLLED | 05 | |
MS | FREE CLINIC | 08768 | 01 |
IA | ENROLLED | 05 |
Street Address |
2500 N STATE STREET |
City | JACKSON |
State | MS |
Zip Code | 39216-4500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669460937 | Robert A Mcguire Jr. | Orthopaedic Surgery | 2500 N State Street, Jackson, MS 39216 | 2005-10-11 |
1376096826 | Melissa Culpepper | Nurse Practitioner | 2500 N State Street, Jackson, MS 39216-4500 | 2016-08-02 |
1255625463 | John David Wofford IIi | Emergency Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2011-06-06 |
1184855207 | Franco Hernan Cabeza Rivera | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-08-06 |
1285865162 | Richard Elliott Wells | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-07-27 |
1336378637 | Michal Senitko | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-07-08 |
1588702815 | Carla Simpson Cole | Dentist | 2500 N State Street, Jackson, MS 39216 | 2007-02-01 |
1811086515 | Brian E Kogon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 N State Street, Jackson, MS 39216-4500 | 2006-10-12 |
1124113667 | John Gorham Winscott Jr. | Internal Medicine | 2500 N State Street, Dept of Medicine Division of Cardiology, Jackson, MS 39216 | 2006-10-03 |
1093815565 | Bruce N Schlakman | Radiology | 2500 N State Street, Jackson, MS 39216 | 2006-09-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
Find all providers in zip 39216 |
Taxonomy Code | 207RH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hospice and Palliative Medicine |
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689952962 | Superior Transitional Care Pllc | Internal Medicine | 900 Cooper St, Jackson, MI 49202-3398 | 2011-08-03 |
1720067283 | Edward D Koonce | Internal Medicine | 620 Skyline Dr, Jackson, TN 38301-3923 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376988006 | Mid-south Home Care Services, LLC | Internal Medicine | 962 Tommy Munro Dr, Suite E, Biloxi, MS 39532-2138 | 2013-05-08 |
1992224885 | Alliance Healthcare Hospice | Internal Medicine | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2017-09-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.