STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1013563527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013563527 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Practice Address |
1410 E Woodrow Wilson Ave Ste I Jackson MS 39216-5114 |
| Mailing Address |
2500 N. State Street Cbo - Suite 4200 Jackson MS 39216-4500 |
| Practice Telephone | 6019846525 |
| Mailing Telephone | 6014969794 |
| Mailing Fax Number | 6018150434 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | JEFFREY GRIMSLEY (CFO) |
| Authorized Official Telephone | 6014969801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194738393 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 18295 Emory Road, West, MS 39192-0000 | 2006-08-15 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1821525957 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2017-05-19 |
| 1528595667 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 418b N Applegate St, Winona, MS 38967-1827 | 2017-05-19 |
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1376969030 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-05 |
| 1972759132 | State of Mississippi - University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| 1972759140 | State of Mississippi - University of Mississippi Medical Center | Dietitian, Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| Street Address |
1410 E WOODROW WILSON AVE STE I |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1760774616 | Nicholas Vance | Orthopaedic Surgery | 569 Skyline Dr Ste 100, Jackson, TN 38301-3911 | 2011-05-11 |
| 1578892972 | L.f.kroner IIi Md PC | Orthopaedic Surgery | 3950 Trail Dr, Jackson, WY 83001-9287 | 2009-12-14 |
| 1972735025 | Sreenivasa Reddy Alla | Orthopaedic Surgery | 726 Highway 11 N, Suite 5, Jackson, KY 41339 | 2009-08-21 |
| 1841411790 | David John Gandy | Orthopaedic Surgery | 971 Lakeland Dr Ste 950, Jackson, MS 39216-4608 | 2007-05-01 |
| 1760521702 | David Khoury Iv | Orthopaedic Surgery | Teton Orthopaedics, 555 E. Broadway, Jackson, WY 83001 | 2007-02-06 |
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1649341876 | Jackson Orthopaedic Care & Surgery, P.C. | Orthopaedic Surgery | 200 Summit Ave, Suite A, Jackson, MI 49201-2464 | 2006-11-10 |
| 1720157274 | Raymond Hamel Pierson | Orthopaedic Surgery | 813 Court St Ste 1, Jackson, CA 95642-2131 | 2006-11-07 |
| 1952487001 | William C Neal, M.d. Pllc | Orthopaedic Surgery | 945 West Braodway, Suite 202, Jackson, WY 83001-7369 | 2006-10-31 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.