K. GRANT MANSELL, D.O., P.A. (NPI# 1366992844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366992844 |
| Entity Type | Organization |
| Organization Name | K. GRANT MANSELL, D.O., P.A. |
| Practice Address |
3535 Military Trl Suite 205 Jupiter FL 33458-5009 |
| Practice Telephone | 5615292625 |
| Practice Fax Number | 5615292651 |
| Mailing Telephone | 5615292625 |
| Mailing Fax Number | 5615292651 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | DR. KIMBERLY GRANT MANSELL (PRESIDENT) |
| Authorized Official Telephone | 5615292625 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | OS9748 | FL | Managed Care Organizations |
| Street Address |
3535 MILITARY TRL SUITE 205 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013974963 | Michael D Milstein | Family Medicine | 3535 Military Trl, Suite 102, Jupiter, FL 33458-5009 | 2006-04-26 |
| 1316405962 | Acuwellness of Florida LLC | Acupuncturist | 3535 Military Trl, Jupiter, FL 33458-5009 | 2019-03-02 |
| 1144638834 | High Point Plastic Surgery, LLC | Plastic Surgery | 3535 Military Trl, #204, Jupiter, FL 33458-5009 | 2014-07-26 |
| 1629202775 | Premier Medical Care of The Palm Beaches P A | Family Medicine | 3535 Military Trl, Suite 102, Jupiter, FL 33458-5009 | 2009-05-05 |
| 1548415359 | Core Elements LLC | Clinic/Center | 3535 Military Trl, Suite 203, Jupiter, FL 33458-5009 | 2008-11-20 |
| 1962663427 | Aaron Spector | Physical Therapist | 3535 Military Trl, Suite 203, Jupiter, FL 33458-5009 | 2008-06-18 |
| 1023277852 | Eric W. Roberts | Physical Therapist | 3535 Military Trl, 203, Jupiter, FL 33458-5009 | 2008-06-06 |
| 1366561300 | Jason Scott Cooper | Surgery | 3535 Military Trl, #204, Jupiter, FL 33458-5009 | 2007-03-29 |
| 1861541443 | Pamela Susan Dean | Chiropractor | 3535 Military Trl, Suite 100, Jupiter, FL 33458-2779 | 2007-01-10 |
| 1588713150 | Thomas Michael Dean Jr. | Chiropractor | 3535 Military Trl, Suite 100, Jupiter, FL 33458-2779 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134515166 | Saylor Physical Therapy Jupiter LLC | Preferred Provider Organization | 345 Jupiter Lakes Blvd, Ste 300, Jupiter, FL 33458-7100 | 2015-04-07 |
| 1649432378 | Florida Auto Injury and Pain Center P L | Preferred Provider Organization | 601 W Indiantown Rd, #2, Jupiter, FL 33458-7525 | 2008-06-25 |
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| 1679185102 | Crosspoint Medical LLC | Preferred Provider Organization | 8051 N Tamiami Trl Ste E6, Sarasota, FL 34243-2067 | 2020-08-17 |
| 1750991758 | Leanne S Smith, Phd, Lmhc | Preferred Provider Organization | 104 Se 6th St Ste 2, Stuart, FL 34994-3038 | 2020-08-04 |
| 1932717089 | Zei Gezunt Healthcare Pa | Preferred Provider Organization | 16001 Collins Ave Apt 2705, Sunny Isles Beach, FL 33160-5537 | 2020-07-15 |
| 1326508458 | Wellness& Rejuvination Centre, P.a. | Preferred Provider Organization | 270 Nw Peacock Blvd Ste 114, Port St Lucie, FL 34986-1602 | 2019-03-24 |
| 1851850937 | Orkin Pest Control | Preferred Provider Organization | 4800 Woodlane Cir, Tallahassee, FL 32303-6858 | 2019-03-18 |
| 1235602541 | Wc Doc-chasers | Preferred Provider Organization | 5220 69th St E, Palmetto, FL 34221-9397 | 2019-01-09 |
| 1114427390 | Xact Healthcare Solutions LLC | Preferred Provider Organization | 2400 Se Veterans Memorial Pkwy Ste 211, Port St Lucie, FL 34952-4890 | 2018-02-14 |
| 1598264798 | Mahogany Revue R&d Development Center | Preferred Provider Organization | 903 Ne Osceola Ave, Ocala, FL 34470-5208 | 2018-02-03 |
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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.