ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI (NPI# 1972694172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972694172 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI |
| Practice Address |
300 Rawls Dr Suite 400 Mccomb MS 39648-2877 |
| Practice Telephone | 6016844613 |
| Practice Fax Number | 6012492226 |
| Mailing Telephone | 6016844613 |
| Mailing Fax Number | 6012492226 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | MRS. DAVID SINCLAIR (DIRECTOR) |
| Authorized Official Telephone | 6012492701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07985398 | 05 |
| Street Address |
300 RAWLS DR SUITE 400 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990732 | Wendy Haydel Blue | Physical Therapist | 300 Rawls Dr, Ste 700a, Mccomb, MS 39648-2872 | 2005-05-24 |
| 1225499452 | Jennifer Meilstrup | Nurse Practitioner | 300 Rawls Dr, Mccomb, MS 39648-2877 | 2016-03-16 |
| 1306226865 | Celena A Dalton | Nurse Practitioner | 300 Rawls Dr, 1500, Mccomb, MS 39648-2877 | 2015-05-31 |
| 1730587767 | Kathryn Amanda Arnold | Nurse Practitioner | 300 Rawls Dr, Suite 1500, Mccomb, MS 39648-2877 | 2014-12-08 |
| 1396156683 | Mississippi State Department of Health | Public Health or Welfare | 300 Rawls Dr, Suite 500, Mccomb, MS 39648-2877 | 2014-05-08 |
| 1538582531 | Marcella Roberts | Nurse Practitioner | 300 Rawls Dr, Ste 600, Mccomb, MS 39648-2877 | 2014-01-27 |
| 1578719225 | Orthopaedic Clinics of Sw Mississippi Pa | Specialist | 300 Rawls Dr, Medical Arts Building Suite 400, Mccomb, MS 39648-2877 | 2008-08-13 |
| 1093972929 | Ellen K Haddad | Psychiatry & Neurology | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-05-19 |
| 1730367574 | Benjamin Simo | Specialist | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-02-04 |
| 1043421167 | Rosalin Marie Landrews | Social Worker | 300 Rawls Dr, Suite 900, Mccomb, MS 39648 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067071 | Southwest Mississippi Regional Medical Center | Orthopaedic Surgery | 300 Rawls Dr Ste 500, Mccomb, MS 39648-2899 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821585241 | Jazzma Trice | Orthopaedic Surgery | 4381 S Eason Blvd Ste 303, Tupelo, MS 38801-6584 | 2018-04-20 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1720506264 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 3952c N Gloster St, Tupelo, MS 38804-0913 | 2017-09-05 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1063624948 | Richard D. Rainey | Orthopaedic Surgery | 1211 South Gloster, Suite A, Tupelo, MS 38801 | 2007-05-04 |
| 1053530246 | Orthoone Sports Medicine & Orthopaedics, Pllc | Orthopaedic Surgery | 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 | 2007-04-25 |
| 1144209727 | Martin M Pomphrey Jr. | Orthopaedic Surgery | 307 Hospital Rd, Starkville, MS 39759-2155 | 2006-01-12 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1710545439 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2019-05-29 |
| 1821490723 | The University of Southern Mississippi | Orthopaedic Surgery | 118 College Dr, 5017, Hattiesburg, MS 39406-0002 | 2014-09-23 |
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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.