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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
15476 Dedeaux Rd, Gulfport, MS 395032637 | 2282302663 | 2285473257 |
1720a Medical Park Dr Ste 210, Biloxi, MS 395322122 | 2282302663 | 2285463257 |
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 |
Street Address |
6300 EAST LAKE BLVD. SUITE 201 |
City | VANCLEAVE |
State | MS |
Zip Code | 39565-6771 |
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 |
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 Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
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] |
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 |
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 |
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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.