Individual provider Active NPI

Karen M Van Tassel, M.D.

  • Anesthesiology Physician
  • Brandon, MS
National Provider Identifier
1376553776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19017 Issued in MS
Practice address
350 Crossgates Blvd
Brandon, MS 39042-2601
Phone
(601) 824-8586
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 19017 MS Primary

Addresses

Primary practice location

350 Crossgates Blvd
Brandon, MS 39042-2601

Mailing address

130 Southpointe Dr # D
Byram, MS 39272-5565
Phone (601) 346-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000573 NC Practitioner - Anesthesiology 9638198427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Mar 16, 2016 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Mar 16, 2016 Accepting new patients
Anesthesia Care of Henderson PC Anesthesiology Past Accepting new patients
River Oaks Management Company LLC Family Medicine Past Accepting new patients

Locations

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

3714 Guardian Ave
Ste W
Morehead City, NC 28557
Phone (252) 247-0314

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376553776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHPOINTE DR # D",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392725565",
            "telephone_number": "601-346-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422601",
            "telephone_number": "601-824-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "19017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.