Provider Demographics
NPI:1063467397
Name:PARSELL, KAREN JACKSON (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JACKSON
Last Name:PARSELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD STE D143
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6701
Mailing Address - Country:US
Mailing Address - Phone:251-342-3949
Mailing Address - Fax:251-266-3361
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-266-3580
Practice Address - Fax:251-266-3581
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME140829208000000X, 208M00000X
AL22843208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009934493Medicaid
LA1523500Medicaid
AL51532197OtherBLUE CROSS
AL102I371787OtherMEDICARE PECOS
AL51599838OtherBLUE CROSS BLUE SHIELD
102I371787OtherMEDICARE PTAN
AL009936161Medicaid
MS07181063Medicaid
FL100463400Medicaid
AL12-00578OtherUNITED HEALTH CARE
AL112863Medicaid
AL112863Medicaid
AL009936161Medicaid