BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC (NPI# 1689804668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689804668 |
| Entity Type | Organization |
| Organization Name | BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC |
| Practice Address |
15476 Dedeaux Rd Suite B Gulfport MS 39503-2637 |
| Mailing Address |
6300 E Lake Blvd Ste 301 Vancleave MS 39565-6771 |
| Practice Telephone | 2282302663 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2282066398 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | DEAN THIGPEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2282302663 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07338588 | 05 |
| 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 |
| 1578029070 | Bienville Orthopaedic Specialists, LLC | Physical Therapist | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2019-02-20 |
| 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 |
| 1427288497 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2009-07-23 |
| Street Address |
15476 DEDEAUX RD SUITE B |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558462218 | Eric J Graham | Specialist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2006-09-26 |
| 1669006102 | Alyssa Morgan Zelenka | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2020-02-24 |
| 1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
| 1417340514 | Denese H Dapito | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-12 |
| 1578951240 | Nicole Lynn Johnson | Registered Nurse | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-01-05 |
| 1932522281 | Jason W Caswell | Physician Assistant | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2014-01-22 |
| 1609163682 | Joseph Tyler Cox | Orthopaedic Surgery | 15476 Dedeaux Rd, Gulfport, MS 39503 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| 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 |
|---|---|---|---|---|
| 1093901902 | William Lewis Seidensticker | Orthopaedic Surgery | 2 Bayou Pl, Gulfport, MS 39503-6231 | 2007-09-25 |
| 1306872171 | Eric Jude Letonoff | Orthopaedic Surgery | 452 Courthouse Rd Ste G, Gulfport, MS 39507-1800 | 2006-06-24 |
| 1689673071 | James C Thriffiley Iv | Orthopaedic Surgery | 1639 E Pass Rd, Gulfport, MS 39507 | 2005-07-18 |
| 1093710089 | Timothy D Jackson | Orthopaedic Surgery | 12080 New Orleans Ave N, Gulfport, MS 39503-3180 | 2005-06-16 |
| 1003254525 | Philip D Myers | Orthopaedic Surgery | 15190 Community Rd, Gulfport, MS 39503 | 2013-06-06 |
| 1609163682 | Joseph Tyler Cox | Orthopaedic Surgery | 15476 Dedeaux Rd, Gulfport, MS 39503 | 2011-06-29 |
| 1750558375 | Memorial Hospital At Gulfport | Orthopaedic Surgery | 1340 Broad Ave, Suite 450 O, Gulfport, MS 39501-2404 | 2008-05-13 |
| 1043408339 | Memorial Hospital At Gulfport | Orthopaedic Surgery | 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 | 2007-10-11 |
| 1760531982 | Ronald Arly Graham | Orthopaedic Surgery | 15190 Community Rd, #360, Gulfport, MS 39503-2008 | 2007-01-09 |
| 1588725519 | Inez M Kelleher | Orthopaedic Surgery | 1340 Broad Ave, Ste 450, Gulfport, MS 39503 | 2006-12-13 |
| Find all providers in GULFPORT | ||||
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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.