Sapheneia Medical Minimally Invasive Therapy Institute

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAPHENEIA MEDICAL MINIMALLY INVASIVE THERAPY INSTITUTE

Practice address

932 N State St
Jackson, MS 39202-2613

Phone

(601) 352-5663

Fax

(601) 352-4437

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Mancilla

Title

Chief Operations Officer

Phone

(601) 352-5663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Ellison Sewell Jr., M.D.

  • Vascular & Interventional Radiology Physician
  • Canton, MS
  • NPI 1043321326
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912099805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022613",
            "telephone_number": "601-352-5663",
            "fax_number": "601-352-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022613",
            "telephone_number": "601-352-5663",
            "fax_number": "601-352-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPHENEIA MEDICAL MINIMALLY INVASIVE THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANCILLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "601-352-5663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhav Sankhyan
• Vineeth-Joseph John Sankoorikal, MD
• Grace Ellen M Santa Teresa, M.D.
• Lauren Nicole Santarufo, D.M.D.
• Carter Wesley Santos, DO
• Varun Sardar, MD
• Alp Eren Sarigul
• Srinivas Saripalli
• Shelly Kimberlyn Sarrett, CPNP-AC
• Mary Kathleen Sartin, CFNP

• Ambulatory Surgical Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.