Juan Mercado Santos, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

270-L Issued in MS

Practice address

Hwy49W Ms. Dept of Correction
Podrawer E
Parchman, MS 38738

Phone

(662) 745-6611

Fax

(662) 745-9994

NPI assigned

Apr 21, 2009

Last updated

Apr 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1497999437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY49W MS. DEPT.OFCORRECTION",
            "address_2": "POBOX237",
            "city": "PARCHMAN",
            "state": "MS",
            "postal_code": "38738",
            "telephone_number": "662-745-6611",
            "fax_number": "662-745-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY49W MS. DEPT OF CORRECTION",
            "address_2": "PODRAWER E",
            "city": "PARCHMAN",
            "state": "MS",
            "postal_code": "38738",
            "telephone_number": "662-745-6611",
            "fax_number": "662-745-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JUAN",
        "middle_name": "MERCADO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "270-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Benjamin Burke, M.D.
• Ikera Curry, M.ED, P-LPC
• Antonio Reyes Del Castillo Jr.
• Von'Shaella Lott
• Nina Waltzer

• General Practice Physician in Parchman, MS
• Providers in Parchman, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.