DR. DELPHINE K. SHANNON (NPI# 1609158260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609158260 |
| Entity Type | Individual |
| Full Name | DR. DELPHINE K. SHANNON |
| Other Name | DR. DELPHINE K. VANDERPOOL |
| Credential | M.D. |
| Practice Address |
12261 Highway 49 Suite 6 Gulfport MS 39503-2975 |
| Mailing Address |
Po Box 1538 Gulfport MS 39502-1538 |
| Practice Telephone | 2282060542 |
| Mailing Telephone | 2285470736 |
| Mailing Fax Number | 2288659265 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 18668 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
12261 HIGHWAY 49 SUITE 6 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730268939 | Sean C Kerby | Family Medicine | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2006-11-06 |
| 1881134740 | Gulfport Wellness Center Inc | Clinic/Center | 12261 Highway 49, Suite 6, Gulfport, MS 39503-2975 | 2017-02-26 |
| 1003153966 | Brittany Nicole Coleman | Nurse Practitioner | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2013-01-12 |
| 1720368855 | Madelena Campbell | Registered Nurse | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2011-08-20 |
| 1043542772 | Memorial Hospital At Gulfport | Family Medicine | 12261 Highway 49, Suite 11 F, Gulfport, MS 39503-2975 | 2010-02-05 |
| 1568793859 | Memorial Hospital At Gulfport | Family Medicine | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2010-01-26 |
| 1225294010 | Memorial Hospital At Gulfport | Allergy & Immunology | 12261 Highway 49, Gulfport, MS 39503-2975 | 2008-08-01 |
| 1326264953 | Barbara L. Kerby | Nurse Practitioner | 12261 Highway 49, Ste 11, Gulfport, MS 39503-2975 | 2007-04-18 |
| 1295898724 | Nyron T Marshall | Internal Medicine | 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080855 | Racquel Simone Allen | General Practice | 5301 Bainbridge Ave # 58, Gulfport, MS 39501-9041 | 2016-01-11 |
| 1427128255 | Eugene David Mcnally | General Practice | 350 Cowan Road, Gulfport, MS 39507 | 2006-11-09 |
| 1013011303 | Stephen W Baker | General Practice | 14055 Seaway Rd., Gulfport, MS 39503 | 2006-09-08 |
| 1447248661 | Curtis A Broussard | General Practice | 12330 Ashley Dr, Gulfport, MS 39503-2737 | 2005-10-11 |
| 1053818245 | Landmark Medical of Mississippi PC | General Practice | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2018-04-12 |
| 1306207519 | Stephanie Eonta | General Practice | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2016-03-15 |
| 1245666742 | Ochsner Clinic LLC | General Practice | 14055 Seaway Rd, Gulfport, MS 39503-4610 | 2013-09-17 |
| 1467888966 | Ochsner Clinic LLC | General Practice | 4215 15th St, Gulfport, MS 39501-2523 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260329 | Good Shepard LLC | General Practice | 632 Lakeland East Dr, Flowood, MS 39232-9565 | 2020-09-16 |
| 1518500677 | Nettleton Medical Express Care LLC | General Practice | 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 | 2019-10-22 |
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1770050908 | Thompson Medical Service, LLC | General Practice | 1200 Hwy 15 North, Blue Mountain, MS 38610 | 2018-10-25 |
| 1790265932 | Antonio Reyes Del Castillo Jr. | General Practice | 590 Parchman Road 12, Parchman, MS 38738-3001 | 2018-08-16 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1013431519 | Madena Jane Gibson | General Practice | 1695 Moses Rd, Raymond, MS 39154-8766 | 2017-07-27 |
| 1942740188 | Personalized Wellness | General Practice | 573 Highway 51 Ste D, Ridgeland, MS 39157-2605 | 2017-03-07 |
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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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.