PEDIATRIC ORTHOPAEDIC SPECIALISTS OF MISSISSIPPI (NPI# 1306067277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306067277 |
Entity Type | Organization |
Organization Name | PEDIATRIC ORTHOPAEDIC SPECIALISTS OF MISSISSIPPI |
Practice Address |
1190 N State St Suite 204 Jackson MS 39202-2413 |
Practice Telephone | 6013538066 |
Practice Fax Number | 6013538155 |
Mailing Telephone | 6013538066 |
Mailing Fax Number | 6013538155 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MISS LESLIE ELIZABETH HOBBS (OFFICE MANAGER) |
Authorized Official Telephone | 6013538066 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
MS | Allopathic & Osteopathic Physicians |
Street Address |
1190 N STATE ST SUITE 204 |
City | JACKSON |
State | MS |
Zip Code | 39202-2413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699775 | Richard L Blount | Ophthalmology | 1190 N State St, Ste 403, Jackson, MS 39202-2413 | 2005-06-16 |
1871086207 | Sarah Kelly Erwin | Dietitian, Registered | 1190 N State St, Jackson, MS 39202-2413 | 2018-06-11 |
1184081234 | Tammy Sims Davis | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2016-01-20 |
1720453145 | Jarrod Bryant | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-10 |
1750756201 | Mississippi Baptist Health Systems | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-09 |
1164897807 | Benjamin Adcock | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-07 |
1275903684 | Brian Gates | Nurse Practitioner | 1190 N State St, Suite 300, Jackson, MS 39202-2413 | 2015-09-28 |
1376940130 | Joel Christopher Boothe | Registered Nurse | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-11-21 |
1134546294 | Tammy Bartholomew | Social Worker | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-03-26 |
1366866154 | Courtney Wright | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2014-02-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407312127 | Khristinn Kellie Leitch | Orthopaedic Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-02-18 |
1255527743 | Patrick Beaumont Wright | Orthopaedic Surgery | 2500 N State St, Department of Orthopedic Surgery and Rehabilitation, Jackson, MS 39216-4500 | 2007-09-19 |
1982825139 | Wa Foote Memorial Hospital | Orthopaedic Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700176203 | Benjamin West Sheffer | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2011-04-18 |
1104044494 | Mississippi Orthopaedics & Sports Medicine | Orthopaedic Surgery | 220 Starlyn Ave, New Albany, MS 38652-2428 | 2007-04-23 |
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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.