UNIVERSITY ORTHOPAEDIC ASSOCIATES (NPI# 1679600654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679600654 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY ORTHOPAEDIC ASSOCIATES |
| Practice Address |
1410 E Woodrow Wilson Ave Jackson MS 39216-5114 |
| Mailing Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6019846525 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE RUSSELL (ASSOCIATE PROFESSOR) |
| Authorized Official Telephone | 6019846525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
16970 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0120719 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386678365 | University Orthopaedic Associates | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2006-07-10 |
| Street Address |
1410 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725374 | William Bennett Geissler | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Ste D, Jackson, MS 39216-5114 | 2005-07-28 |
| 1982893939 | University Physicians | Allergy & Immunology | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2007-10-16 |
| 1093913634 | University Family Medicine Associates, Pllc | Clinic/Center | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2007-07-05 |
| 1679516017 | James L Hughes Jr. | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2006-06-14 |
| 1962441352 | Lawrence Lee Haber | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2006-06-04 |
| 1831136175 | Philip J Blount | Physical Medicine & Rehabilitation | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194962944 | Patrick Finley Bergin | Orthopaedic Surgery | 2500 N State St, Department of Orthopedics, Jackson, MS 39216-4500 | 2009-01-15 |
| 1629072509 | George V Russell Jr. | Orthopaedic Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821185406 | Charlton Henry Barnes | Orthopaedic Surgery | 4211 Hospital St Ste 103, Pascagoula, MS 39581-5310 | 2006-10-06 |
| 1710919964 | Michael J Stonnington | Orthopaedic Surgery | 4320 15th St Ste A, Gulfport, MS 39501-2524 | 2006-07-07 |
| 1770848061 | Dhp of North Mississippi Professional Association | Orthopaedic Surgery | 830 S Gloster St, Tupelo, MS 38801-4934 | 2012-07-12 |
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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.