Individual provider Active NPI

Jean Guyton Gispen, M.D.

  • Rheumatology Physician
  • University, MS
National Provider Identifier
1760495071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
11113 Issued in MS
Practice address
Employee Health Service, V. B. Harrison Building
Rebel Drive
University, MS 38677
Phone
(662) 915-6550
Fax
(662) 915-2022
NPI assigned
Aug 15, 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
Rheumatology Physician 207RR0500X 11113 MS Primary

Addresses

Primary practice location

Employee Health Service, V. B. Harrison Building
Rebel Drive
University, MS 38677

Mailing address

PO Box 1848
University, MS 38677-1848
Phone (662) 915-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160215000628 MS Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Rheumatology 0446554240

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760495071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "386771848",
            "telephone_number": "662-915-6550",
            "fax_number": "662-915-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMPLOYEE HEALTH SERVICE, V. B. HARRISON BUILDING",
            "address_2": "REBEL DRIVE",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "38677",
            "telephone_number": "662-915-6550",
            "fax_number": "662-915-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISPEN",
        "first_name": "JEAN",
        "middle_name": "GUYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "11113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University, MS

Sources for this page

Verify at the official NPI Registry.