Mansoor -- Hasan, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

235719 Issued in NY

Practice address

GV Sonny Montgomery Vamc Phy&Rehab (117)
1500 E Woodrow Wilson Drive
Jackson, MS 39157

Phone

(601) 964-3312

Fax

(601) 364-1394

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598847683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 LINCOLNSHIRE BLVD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-954-3312",
            "fax_number": "601-364-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GV SONNY MONTGOMERY VAMC PHY&REHAB (117)",
            "address_2": "1500 E WOODROW WILSON DRIVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-964-3312",
            "fax_number": "601-364-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MANSOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "235719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Harvey
• Robert Steven Harvey, AGACNP
• Sarah Ann Harvey
• Taylor Warrington Harvey, MD
• Juleka Harvison, CRNA
• Omar Hasan
• Mohamed Hassanein, M.D.
• Abbey Kate Hassell
• David Y Hastings, LCSW
• Marnisha Hatch

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.