SOUTHERN BONE & JOINT SPECIALISTS, PA (NPI# 1184965170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184965170 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BONE & JOINT SPECIALISTS, PA |
| Practice Address |
128 Highland Pkwy Suite 100 Picayune MS 39466-5577 |
| Mailing Address |
3688 Veterans Memorial Dr Suite 200 Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015547400 |
| Practice Fax Number | 6015547499 |
| Mailing Telephone | 6015547400 |
| Mailing Fax Number | 6015547499 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | MR. DAVID M BURCKEL (CEO) |
| Authorized Official Telephone | 6015547449 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN BONE & JOINT SPECIALISTS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| 1760098750 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1428 Azalea Dr S, Wiggins, MS 39577-8195 | 2020-09-16 |
| 1841635034 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 30 Circle J Dr, #1, Laurel, MS 39440-1980 | 2013-05-02 |
| 1497002810 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 701 S Holly Ave, Collins, MS 39428-3894 | 2012-08-06 |
| 1831110725 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 3688 Veterans Memorial Drive, Suite 200, Hattiesburg, MS 39401 | 2006-07-23 |
| Street Address |
128 HIGHLAND PKWY SUITE 100 |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793897 | James J Blount IIi | Obstetrics & Gynecology | 128 Highland Pkwy, Suite 202, Picayune, MS 39466-5577 | 2005-10-13 |
| 1043427834 | Michael Byron Mitchell | Psychiatry & Neurology | 128 Highland Pkwy, Suite 200, Picayune, MS 39466-5577 | 2007-05-17 |
| 1265593156 | Hattiesburg Clinic Pa | Family Medicine | 128 Highland Pkwy, Suite 200, Picayune, MS 39466-5577 | 2006-12-13 |
| 1831109024 | Cynthia V Jean-pierre | Obstetrics & Gynecology | 128 Highland Pkwy, Suite 202, Picayune, MS 39466-5577 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| 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 |
|---|---|---|---|---|
| 1619526852 | Msk Group, PC | Orthopaedic Surgery | 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 | 2019-09-10 |
| 1790193050 | Och Orthopedic Center | Orthopaedic Surgery | 401 Hospital Rd, Starkville, MS 39759-2164 | 2014-07-30 |
| 1679909774 | Irvin L. Martin IIi Md Pllc | Orthopaedic Surgery | 1800 12th St Ste 1e, Meridian, MS 39301-4158 | 2013-09-20 |
| 1073946216 | Madison Physician Surgery Center, LLC | Orthopaedic Surgery | 4510 Lakeland Dr, Flowood, MS 39232-9583 | 2013-08-12 |
| 1386076743 | William Ladwick Hand | Orthopaedic Surgery | 304 Kings Common, Ridgeland, MS 39157 | 2013-08-07 |
| 1184068413 | Thomas Payne Royals | Orthopaedic Surgery | 103 Tatum Rd, Hattiesburg, MS 39401-5186 | 2013-04-17 |
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| 1477817799 | Matthew A Miller | Orthopaedic Surgery | 1211 South Gloster St, Suite A, Tupelo, MS 38801 | 2012-07-02 |
| 1831453158 | Phillip Anthony Sandifer | Orthopaedic Surgery | 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655-4477 | 2012-07-02 |
| Find all providers with the same taxonomy | ||||
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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.