MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE, PLLC (NPI# 1437299344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437299344 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE, PLLC |
| Practice Address |
391 Southcrest Cir Suite 205 Southaven MS 38671-6730 |
| Mailing Address |
Po Box 1107 Southaven MS 38671-0111 |
| Practice Telephone | 6625360900 |
| Mailing Telephone | 6625360900 |
| Mailing Fax Number | 6625360914 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | RITA B CHRISTIAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6625360900 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 11962 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119607 | 05 | |
| MS | 00574531 | 05 |
| Street Address |
391 SOUTHCREST CIR SUITE 205 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651036 | Dharmesh S. Patel | Internal Medicine | 391 Southcrest Cir, Ste. 200, Southaven, MS 38671 | 2005-12-28 |
| 1255799730 | Lindsey Garner | Nurse Practitioner | 391 Southcrest Cir, Southaven, MS 38671 | 2016-01-29 |
| 1497011357 | William Brooks Turner | Specialist/Technologist | 391 Southcrest Cir, Suite 205, Southaven, MS 38671-6730 | 2012-04-05 |
| 1649536889 | Desoto Heart Clinic, PC | Internal Medicine | 391 Southcrest Cir, Suite 209, Southaven, MS 38671-6730 | 2012-04-02 |
| 1306015185 | Marcia W Kidder | Physical Therapist | 391 Southcrest Cir, Suite 205, Southaven, MS 38671-6730 | 2008-02-26 |
| 1225188436 | West Clinic PC | Internal Medicine | 391 Southcrest Cir, Ste. 200, Southaven, MS 38671-6730 | 2007-01-11 |
| 1093822280 | Desoto Therapy, Inc. | Exclusive Provider Organization | 391 Southcrest Cir, Suite 108, Southaven, MS 38671-6730 | 2006-08-24 |
| 1407862899 | Family Cancer Center, Pllc | Internal Medicine | 391 Southcrest Cir, Suite 101, Southaven, MS 38671-4848 | 2006-07-31 |
| 1699724294 | Amit Malhotra | Internal Medicine | 391 Southcrest Cir, Suite 200, Southaven, MS 38671-6730 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| 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 |
| 1902969751 | The Office of Bone and Joint Surgery, P.C. | Orthopaedic Surgery | 7900 Airways Blvd Bldg A1, Southaven, MS 38671-4116 | 2006-12-19 |
| 1376557892 | Earl Lynn Phillips | Orthopaedic Surgery | Msk Group, PC, 7900 Airways Blvd, Ste. B102, Southaven, MS 38671 | 2006-07-28 |
| 1699761387 | Gregory D Dabov | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2005-09-27 |
| 1013278084 | William Jacob Weller | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-06-06 |
| 1114175585 | Mid-south Orthopedic Hospitalists LLC | Orthopaedic Surgery | 7535 Airways Blvd, Southaven, MS 38671-5834 | 2008-08-28 |
| 1124106133 | Timothy J Micek | Orthopaedic Surgery | 3964 Goodman Rd E, Suite 128, Southaven, MS 38672-8761 | 2006-11-01 |
| 1932121662 | Claiborne Ashby Christian | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-07-24 |
| 1407813736 | John Tom Morris Jr. | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-28 |
| 1568429124 | James Carroll Varner | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-27 |
| Find all providers in SOUTHAVEN | ||||
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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.