GREGORY D DABOV (NPI# 1699761387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699761387 |
| Entity Type | Individual |
| Full Name | GREGORY D DABOV |
| Credential | M.D. |
| Practice Address |
7545 Airways Blvd Southaven MS 38671-5806 |
| Mailing Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
| Practice Telephone | 9017593100 |
| Practice Fax Number | 9017593196 |
| Mailing Telephone | 9017593100 |
| Mailing Fax Number | 9017593916 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 34061 | TN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 15741 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00122613 | 05 | |
| TN | 3851421 | 05 | |
| AR | 140940001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Union Ave Ste 500, Memphis, TN 381046656 | 9017593100 | |
| 1400 S Germantown Rd, Germantown, TN 381382205 | 9017593100 | |
| 1458 W Poplar Ave Ste 100, Collierville, TN 380170630 | 9017593100 | |
| 8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 |
| Street Address |
7545 AIRWAYS BLVD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
| 1710421946 | Bobbi Mcwhinney | Specialist/Technologist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2016-12-07 |
| 1083023675 | Jerrica Thomas | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-08-07 |
| 1477960490 | Tanya Mcfadden | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-22 |
| 1093122145 | Jennifer Dixon Brown | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
| 1730596883 | Margaret Kedia | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-21 |
| 1407263056 | Marie Joyce Barron | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-15 |
| 1962757740 | Danielle L Johnson | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-07-18 |
| 1013278084 | William Jacob Weller | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-06-06 |
| 1700176203 | Benjamin West Sheffer | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| 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 |
|---|---|---|---|---|
| 1619526852 | Msk Group, PC | Orthopaedic Surgery | 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 | 2019-09-10 |
| 1902969751 | The Office of Bone and Joint Surgery, P.C. | Orthopaedic Surgery | 7900 Airways Blvd Bldg A1, Southaven, MS 38671-4116 | 2006-12-19 |
| 1376557892 | Earl Lynn Phillips | Orthopaedic Surgery | Msk Group, PC, 7900 Airways Blvd, Ste. B102, Southaven, MS 38671 | 2006-07-28 |
| 1013278084 | William Jacob Weller | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-06-06 |
| 1114175585 | Mid-south Orthopedic Hospitalists LLC | Orthopaedic Surgery | 7535 Airways Blvd, Southaven, MS 38671-5834 | 2008-08-28 |
| 1437299344 | Mississippi Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 391 Southcrest Cir, Suite 205, Southaven, MS 38671-6730 | 2007-02-08 |
| 1124106133 | Timothy J Micek | Orthopaedic Surgery | 3964 Goodman Rd E, Suite 128, Southaven, MS 38672-8761 | 2006-11-01 |
| 1932121662 | Claiborne Ashby Christian | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-07-24 |
| 1407813736 | John Tom Morris Jr. | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-28 |
| 1568429124 | James Carroll Varner | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-27 |
| Find all providers in SOUTHAVEN | ||||
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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.