DR. BRUCE N SCHLAKMAN (NPI# 1093815565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093815565 |
| Entity Type | Individual |
| Full Name | DR. BRUCE N SCHLAKMAN |
| Credential | MD |
| Practice Address |
2500 N State Street Jackson MS 39216 |
| Practice Telephone | 6019842538 |
| Practice Fax Number | 6018151854 |
| Mailing Telephone | 6019842538 |
| Mailing Fax Number | 6018151854 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
20032 | MS | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME63631 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20032 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME63631 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P01198276 | 01 |
| MS | MS MEDICARE - GROUP | 512G700003 | 01 |
| FL | 375193701 | 05 | |
| RAILROAD MEDICARE | P00604717 | 01 | |
| AL | 157266 | 05 | |
| RAILROAD GRP# | DG7781 | 01 |
| Street Address |
2500 N STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| 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 |
| 1528242724 | John Keith Mansel | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2007-12-24 |
| 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 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225186349 | Ellen E Parker | Radiology | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-08 |
| 1396761185 | Majid Aziz Khan | Radiology | 2500 North State Street, University of Ms, Jackson, MS 39216-5116 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321326 | Patrick Ellison Sewell Jr. | Radiology | 1421 E Peace St, A, Canton, MS 39046-4938 | 2006-08-31 |
| 1497869507 | Madison Imaging LLC | Radiology | 106 Highland Way, Suite 100, Madison, MS 39110 | 2006-08-18 |
| 1437189099 | William Mark Molpus | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-07-03 |
| 1285663500 | Richard F Mccarthy | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
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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.