DR. JOHN KIRK DRAKE (NPI# 1154349223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154349223 |
| Entity Type | Individual |
| Full Name | DR. JOHN KIRK DRAKE |
| Credential | M.D. |
| Practice Address |
6300 E Lake Blvd Suite 201 Vancleave MS 39565-6770 |
| Mailing Address |
6300 E Lake Blvd Suite 301 Vancleave MS 39565-6770 |
| Practice Telephone | 2282302663 |
| Practice Fax Number | 2282061192 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2282061192 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 07298 | MS | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
07298 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00117280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568812758 | John Drake | Counselor | 530 Ensley Ln Se, Tumwater, WA 98501-4030 | 2016-06-17 |
| 1215359070 | John Drake | Counselor | 105 S Garden Avenue, Newport, WA 99156 | 2014-01-14 |
| 1689855074 | John Michael Drake | Urology | 20 Glenlake Pkwy, Kaiser Permanente Glenlake Dept of Urology, Atlanta, GA 30328 | 2007-11-14 |
| 1225119829 | John Thomas Drake | Dentist | 316 E Silver Spring Dr, Milwaukee, WI 53217 | 2006-10-18 |
| 1265431589 | John E Drake | Obstetrics & Gynecology | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2005-07-19 |
| Street Address |
6300 E LAKE BLVD SUITE 201 |
| City | VANCLEAVE |
| State | MS |
| Zip Code | 39565-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457894255 | Melissa Nolan Hartsfield | Occupational Therapist | 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 | 2016-11-28 |
| 1861620148 | Christopher Burks | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 | 2009-06-25 |
| 1003043506 | Matthew Wesley Lewis | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 | 2009-06-11 |
| 1104012566 | Daniel Allen Wittersheim | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761950 | Jake Wallace Carzoli | Nurse Practitioner | 11700 Ms-57, Vancleave, MS 39565 | 2018-02-22 |
| 1992129316 | Ashlynn Evan Crum | Speech-Language Pathologist | 8728 Doobie Ct., Vancleave, MS 39565 | 2014-02-05 |
| 1851695720 | Coast Nurse Practitioners, Inc. | Nurse Practitioner | 13300 R.s. Kimball Road, Vancleave, MS 39565 | 2011-01-06 |
| 1538484761 | Sarah Burke | Speech-Language Pathologist | 477 Colonel Vickrey Road, Vancleave, MS 39565 | 2010-03-31 |
| 1194058842 | Jackson County School District | Local Education Agency (LEA) | 4700 Colonel Vickrey Road, Vancleave, MS 39565 | 2009-09-14 |
| 1962566224 | John Michael Martin | Nurse Practitioner | 1330 R S Kimball, Vancleave, MS 39565 | 2006-12-21 |
| 1619919156 | Lennon E. Bowen Iv | Psychiatry & Neurology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2006-06-11 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1164971867 | Clarissa Picard | Occupational Therapist | 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 | 2016-09-23 |
| 1629427174 | Amanda Rayburn | Registered Nurse | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2016-06-06 |
| Find all providers in zip 39565 | ||||
| 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 |
|---|---|---|---|---|
| 1598185563 | Thomas Jordan Lucak | Orthopaedic Surgery | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2014-04-17 |
| 1699031369 | Jess Harding Mullens | Orthopaedic Surgery | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2012-04-07 |
| 1861620148 | Christopher Burks | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 | 2009-06-25 |
| 1003043506 | Matthew Wesley Lewis | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 | 2009-06-11 |
| 1104012566 | Daniel Allen Wittersheim | Orthopaedic Surgery | 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526852 | Msk Group, PC | Orthopaedic Surgery | 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 | 2019-09-10 |
| 1790193050 | Och Orthopedic Center | Orthopaedic Surgery | 401 Hospital Rd, Starkville, MS 39759-2164 | 2014-07-30 |
| 1679909774 | Irvin L. Martin IIi Md Pllc | Orthopaedic Surgery | 1800 12th St Ste 1e, Meridian, MS 39301-4158 | 2013-09-20 |
| 1073946216 | Madison Physician Surgery Center, LLC | Orthopaedic Surgery | 4510 Lakeland Dr, Flowood, MS 39232-9583 | 2013-08-12 |
| 1386076743 | William Ladwick Hand | Orthopaedic Surgery | 304 Kings Common, Ridgeland, MS 39157 | 2013-08-07 |
| 1184068413 | Thomas Payne Royals | Orthopaedic Surgery | 103 Tatum Rd, Hattiesburg, MS 39401-5186 | 2013-04-17 |
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| 1477817799 | Matthew A Miller | Orthopaedic Surgery | 1211 South Gloster St, Suite A, Tupelo, MS 38801 | 2012-07-02 |
| 1831453158 | Phillip Anthony Sandifer | Orthopaedic Surgery | 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655-4477 | 2012-07-02 |
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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.