EDWIN A HISSA (NPI# 1124051081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051081 |
| Entity Type | Individual |
| Full Name | EDWIN A HISSA |
| Credential | MD |
| Practice Address |
500 Burlington Rd Jackson OH 45640-9360 |
| Practice Telephone | 7403958805 |
| Practice Fax Number | 7403958855 |
| Mailing Telephone | 7403958805 |
| Mailing Fax Number | 7403958855 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3504832OH | OH | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
3504832OH | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OH MEDICAID UNISON | 000000300288 | 01 |
| OH | RAILROAD MEDICARE | P00867116 | 01 |
| OH | 0755053 | 05 | |
| WV | 3810014406 | 05 | |
| OH | OH MEDICAID CARESOURCE | 310917085227 | 01 |
| Street Address |
500 BURLINGTON RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678060 | Keith A Mckinniss | Pharmacist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2005-09-01 |
| 1720618192 | Nicole Maxey | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2020-01-24 |
| 1154968006 | Jordan Jayjohn | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1669019501 | Lorie Lynn Siders | Dietitian, Registered | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1477105674 | Hannah Rose Bachtel | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-07-09 |
| 1871062893 | Melissa Davis | Licensed Practical Nurse | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-11-20 |
| 1972092633 | Jamie Beth Boster | Speech-Language Pathologist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-08 |
| 1982193066 | Bethany Christine Sayre-penix | Occupational Therapist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-04 |
| 1821517574 | Krystal Marie Thayer | Physician Assistant | 500 Burlington Rd, Jackson, OH 45640-9360 | 2017-09-13 |
| 1326490087 | Seth Forgey | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| 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.