YUMA SPINE & JOINT PLLC (NPI# 1992140230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992140230 |
| Entity Type | Organization |
| Organization Name | YUMA SPINE & JOINT PLLC |
| Other Organization Name | PERFORMANCE SPINE |
| Practice Address |
15190 Community Rd Suite 360 Gulfport MS 39503-3485 |
| Mailing Address |
45 Hardy Court Ctr Suite 240 Gulfport MS 39507-2501 |
| Practice Telephone | 2282659277 |
| Mailing Telephone | 2282659277 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. ROBERT L KIMBER (OWNER) |
| Authorized Official Telephone | 9282463738 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
21858 | MS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Performance Spine | Doing Business As Name - Organization |
| Street Address |
15190 COMMUNITY RD SUITE 360 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337770 | Ronald David Evans | Surgery | 15190 Community Rd, Suite 250, Gulfport, MS 39503-3485 | 2005-06-21 |
| 1861010159 | Singing River Gulfport | Clinic/Center | 15190 Community Rd, Gulfport, MS 39503-3485 | 2020-07-13 |
| 1427594480 | Christina Barnes | Nurse Practitioner | 15190 Community Rd, Suite 110, Gulfport, MS 39503-3485 | 2017-01-16 |
| 1417400896 | David N Johnston Jr. | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-08-02 |
| 1023469244 | Michelle Wright Taylor | Nurse Practitioner | 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 | 2016-06-29 |
| 1396107330 | D Balder Md, Pllc | Specialist | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-03-28 |
| 1154725562 | Matthew James Ladner | Physical Therapy Assistant | 15190 Community Rd, Gulfport, MS 39503-3485 | 2014-10-14 |
| 1255770558 | Amy Lynn Scheller | Surgery | 15190 Community Rd, Gulfport, MS 39503-3485 | 2013-06-19 |
| 1003254525 | Philip D Myers | Orthopaedic Surgery | 15190 Community Rd, Gulfport, MS 39503 | 2013-06-06 |
| 1508202268 | Jeremy W Owens, Md, PC | Psychiatry & Neurology | 15190 Community Rd, Suite 260, Gulfport, MS 39503-3485 | 2013-05-21 |
| Find all providers in the same location | ||||
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| 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 |
|---|---|---|---|---|
| 1760475636 | Robert Joseph Weierman Sr. | Orthopaedic Surgery | 1213 Broad Ave, Suite 5, Gulfport, MS 39501-2475 | 2005-08-25 |
| 1073711255 | Robert J Weierman Md Pllc | Orthopaedic Surgery | 1213 Broad Ave, Suite 5, Gulfport, MS 39501-2475 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033611009 | Cardiac Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400-5012, Jackson, MS 39206-3051 | 2018-03-06 |
| 1588166565 | Spine Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400-5013, Jackson, MS 39206-3051 | 2018-03-06 |
| 1942701040 | Joint Replacement Cin of Jackson LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2018-02-23 |
| 1154645026 | David Vecchione | Orthopaedic Surgery | 1211 S Gloster St Ste A, Tupelo, MS 38801-6548 | 2010-03-22 |
| 1669460937 | Robert A Mcguire Jr. | Orthopaedic Surgery | 2500 N State Street, Jackson, MS 39216 | 2005-10-11 |
| 1083252753 | Danielle Phillips | Orthopaedic Surgery | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2019-12-12 |
| 1669934741 | Sms Care of Ms, LLC | Orthopaedic Surgery | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2019-04-05 |
| 1720283682 | Marion Stanton Ward | Orthopaedic Surgery | 2500 North State Street, Department of Orthopedics, Jackson, MS 39216-4500 | 2007-06-19 |
| 1861695264 | Graham Carr Calvert | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2007-06-06 |
| 1629288642 | Mississippi Spine Clinic Pllc | Orthopaedic Surgery | 971 Lakeland Dr, Suite 950, Jackson, MS 39216-4643 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
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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.