MITIAS ORTHOPAEDICS, PLLC (NPI# 1992109094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992109094 |
| Entity Type | Organization |
| Organization Name | MITIAS ORTHOPAEDICS, PLLC |
| Other Organization Name | CHAMPION ORTHOPAEDICS PLLC |
| Practice Address |
6518 Goodman Rd Ste 104 Olive Branch MS 38654-9809 |
| Mailing Address |
Po Box 1607 Olive Branch MS 38654-0955 |
| Practice Telephone | 6624207350 |
| Practice Fax Number | 6628745214 |
| Mailing Telephone | 6624207350 |
| Mailing Fax Number | 6628745214 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-01-11 |
| Authorized Official Name | MRS. JENNIFER CHISM BULLOCK (PRESIDENT) |
| Authorized Official Telephone | 6625342227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Champion Orthopaedics PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972791978 | Mitias Orthopaedics, Pllc | Orthopaedic Surgery | 206 Oxford Rd, New Albany, MS 38652 | 2007-10-04 |
| Street Address |
6518 GOODMAN RD STE 104 |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-9809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062541 | Timothy W. Pickens | Nurse Practitioner | 6518 Goodman Rd Ste 104, Olive Branch, MS 38654-9809 | 2020-01-25 |
| 1619346111 | Champion Orthopaedics Desoto, Pllc | Orthopaedic Surgery | 6518 Goodman Rd Ste 104, Olive Branch, MS 38654-9809 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093046500 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5025 Highway 305 N, Olive Branch, MS 38654-3602 | 2010-01-22 |
| 1720217524 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7363 Goodman Rd, Olive Branch, MS 38654-1906 | 2009-07-14 |
| 1366699100 | Healthcare Quality Management | Durable Medical Equipment & Medical Supplies | 8880 Germantown Rd, Ste 502, Olive Branch, MS 38654-8519 | 2008-08-23 |
| 1558568741 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7030 Hacks Cross Rd, Olive Branch, MS 38654-4471 | 2007-06-29 |
| 1437163797 | Starlight Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 5701 Roman Hill Dr, Olive Branch, MS 38654-9437 | 2006-07-29 |
| 1639197163 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7950 Craft Goodman Rd, Olive Branch, MS 38654-6608 | 2006-07-17 |
| 1013941897 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 7427 Goodman Rd, Olive Branch, MS 38654-1910 | 2006-07-10 |
| 1710954383 | Scott G. Leeka Dba Alternative Medical Solutions | Durable Medical Equipment & Medical Supplies | 7139 Commerce Dr., Bldg. C-3, Olive Branch, MS 38654 | 2006-03-02 |
| 1447427752 | Orthoone Sports Medicine & Orthopaedics, Pllc | Durable Medical Equipment & Medical Supplies | 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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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.