BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC (NPI# 1427288497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427288497 |
| Entity Type | Organization |
| Organization Name | BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC |
| Practice Address |
3615 Hospital St Pascagoula MS 39581-4112 |
| Mailing Address |
6300 E Lake Blvd Ste 301 Vancleave MS 39565-6771 |
| Practice Telephone | 2287623664 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2282066398 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | DEAN THIGPEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2282302663 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07338588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605834 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2006-07-05 |
| 1578029070 | Bienville Orthopaedic Specialists, LLC | Physical Therapist | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2019-02-20 |
| 1275764110 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 7001 Hwy 614, Hurley, MS 39555 | 2009-07-27 |
| 1902036973 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2009-07-23 |
| 1689804668 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2009-07-23 |
| Street Address |
3615 HOSPITAL ST |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801877022 | Benjamin P Watts | Physician Assistant | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2005-11-07 |
| 1013170653 | William Wenstrom | Nurse Practitioner | 3615 Hospital St, Pascagoula, MS 39581 | 2008-07-03 |
| 1902825573 | Eric D Washington | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-18 |
| 1619902814 | Donnis Kline Harrison | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| 1407881022 | Christopher Edward Wiggins | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| 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 |
|---|---|---|---|---|
| 1316939358 | Arthur Dewayne Black | Orthopaedic Surgery | 2725 Andrew Ave, Pascagoula, MS 39567-1815 | 2005-08-16 |
| 1619010691 | Allstar Orthopedics Pllc | Orthopaedic Surgery | 2725 Andrew Ave, Pascagoula, MS 39567-1815 | 2007-02-15 |
| 1902825573 | Eric D Washington | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-18 |
| 1619902814 | Donnis Kline Harrison | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| 1407881022 | Christopher Edward Wiggins | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| 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 | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.