ALLSTAR ORTHOPEDICS PLLC (NPI# 1619010691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619010691 |
| Entity Type | Organization |
| Organization Name | ALLSTAR ORTHOPEDICS PLLC |
| Practice Address |
2725 Andrew Ave Pascagoula MS 39567-1815 |
| Mailing Address |
Allstar Orthopedics, Pllc P O Box 1918 Gautier MS 39553 |
| Practice Telephone | 2287623993 |
| Practice Fax Number | 2287623839 |
| Mailing Telephone | 2287623993 |
| Mailing Fax Number | 2287623839 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | DR. ARTHUR DEWAYNE BLACK (OWNER ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 2287623993 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 15591 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 573510548D | 01 |
| MS | 03504519 | 05 |
| Street Address |
2725 ANDREW AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939358 | Arthur Dewayne Black | Orthopaedic Surgery | 2725 Andrew Ave, Pascagoula, MS 39567-1815 | 2005-08-16 |
| 1649621368 | Kendrick R Mccarty | Nurse Practitioner | 2725 Andrew Ave, Pascagoula, MS 39567-1815 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| 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 |
| 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 | 39567 |
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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.