BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC


Address: 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771
Phone: 2282302663

BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC (NPI# 1578029070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578029070
Entity Type Organization
Organization Name BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Practice Address 6300 East Lake Blvd.
Suite 201
Vancleave
MS 39565-6771
Mailing Address 6300 East Lake Blvd.
Suite 301
Vancleave
MS 39565-6771
Practice Telephone 2282302663
Practice Fax Number 2282061192
Mailing Telephone 2882302663
Mailing Fax Number 2282061192
Enumeration Date 2019-02-20
Last Update Date 2019-12-11
Authorized Official Name MR. DOUGLAS DEAN THIGPEN (CEO)
Authorized Official Telephone 2282302663
Is Organization Subpart Y
Parent Organization Name BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15476 Dedeaux Rd, Gulfport, MS 395032637 2282302663 2285473257
1720a Medical Park Dr Ste 210, Biloxi, MS 395322122 2282302663 2285463257

Other Provider IDs and Locations

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
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
1427288497 Bienville Orthopaedic Specialists, LLC Durable Medical Equipment & Medical Supplies 3615 Hospital St, Pascagoula, MS 39581-4112 2009-07-23

Office Location

Street Address 6300 EAST LAKE BLVD.
SUITE 201
City VANCLEAVE
State MS
Zip Code 39565-6771

Providers in the same location

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
1164971867 Clarissa Picard Occupational Therapist 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 2016-09-23
1417405812 Bienville Surgery Center, LLC Clinic/Center 6300 East Lake Blvd., Suite 102, Vancleave, MS 39565-6771 2016-09-14
1174911960 Brittany Mcelhaney Nurse Practitioner 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 2014-12-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548761950 Jake Wallace Carzoli Nurse Practitioner 11700 Ms-57, Vancleave, MS 39565 2018-02-22
1992129316 Ashlynn Evan Crum Speech-Language Pathologist 8728 Doobie Ct., Vancleave, MS 39565 2014-02-05
1851695720 Coast Nurse Practitioners, Inc. Nurse Practitioner 13300 R.s. Kimball Road, Vancleave, MS 39565 2011-01-06
1538484761 Sarah Burke Speech-Language Pathologist 477 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31
1194058842 Jackson County School District Local Education Agency (LEA) 4700 Colonel Vickrey Road, Vancleave, MS 39565 2009-09-14
1962566224 John Michael Martin Nurse Practitioner 1330 R S Kimball, Vancleave, MS 39565 2006-12-21
1619919156 Lennon E. Bowen Iv Psychiatry & Neurology 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2006-06-11
1396233490 Dorian R Blake Nurse Practitioner 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2018-04-25
1629427174 Amanda Rayburn Registered Nurse 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2016-06-06
1699031369 Jess Harding Mullens Orthopaedic Surgery 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 2012-04-07
Find all providers in zip 39565

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316233935 Karoline G Johnson Occupational Therapist 16425 Highway 57, Vancleave, MS 39565-9010 2011-06-22
1952586380 Julia G. Hines Occupational Therapist 2109 Holder Rd, Vancleave, MS 39565-8741 2008-01-03
1457894255 Melissa Nolan Hartsfield Occupational Therapist 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 2016-11-28
1164971867 Clarissa Picard Occupational Therapist 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 2016-09-23
1184949356 Jayme Robinson Occupational Therapist 4700 Colonel Vickrey Road, Vancleave, MS 39565 2010-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548867088 Julia Hovatter Occupational Therapist 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 2020-10-07
1770197089 Ashton Allard Occupational Therapist 4709 Highway 22, Flora, MS 39071-9512 2020-09-03
1194338079 Lauren Elizabeth Laenen Occupational Therapist 147 S Brooks St, Pontotoc, MS 38863-2950 2020-08-28
1770196123 Brooke Ann Thomas Occupational Therapist 627 Middleton Rd Ste 100, Winona, MS 38967-2000 2020-08-26
1619517869 Cristen N Sudduth Occupational Therapist 374 Savanna St, Jackson, MS 39212-5257 2020-01-15
1659911246 Madison Casey Hayes Occupational Therapist 5271 Getwell Rd # Suittea, Southaven, MS 38672-9608 2020-01-10
1497391106 Takisha Kayon Stallings-richards Occupational Therapist 4744 We Ross Pkwy Apt 50-201, Southaven, MS 38671-7003 2019-11-18
1407490352 Kelli Snider Occupational Therapist 402 Natchez Ave, Brookhaven, MS 39601-4058 2019-11-04
1871136663 Holly Stidham Loper Occupational Therapist 600 Rollingwood Dr, Vicksburg, MS 39183-6930 2019-10-24
1972153039 Marlee Taylor Occupational Therapist 503 Constitution Drive, Iuka, MS 38852-8201 2019-09-19
Find all providers with the same taxonomy

Competitor

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City VANCLEAVE
Zip Code 39565

Improve Information

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Dataset Information

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.

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