SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC (NPI# 1316571854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316571854 |
| Entity Type | Organization |
| Organization Name | SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC |
| Other Organization Name | HAMILTON |
| Practice Address |
1500 Military St S Ste 11 Hamilton AL 35570-5050 |
| Mailing Address |
1211 S Gloster St Ste A Tupelo MS 38801-6548 |
| Practice Telephone | 6627674200 |
| Practice Fax Number | 6627674204 |
| Mailing Telephone | 6627674200 |
| Mailing Fax Number | 6627674204 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JENNY MILLS (CREDENTIALING/PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6627674200 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hamilton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093177685 | Specialty Orthopedic Group of Mississippi Pllc | Orthopaedic Surgery | 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655-4477 | 2016-03-23 |
| 1639553506 | Specialty Orthopedic Group of Mississippi Pllc | Orthopaedic Surgery | 1211 S Gloster St Ste A, Tupelo, MS 38801-6535 | 2015-07-10 |
| Street Address |
1500 MILITARY ST S STE 11 |
| City | HAMILTON |
| State | AL |
| Zip Code | 35570-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568963908 | Courtney Renee Dubose | Nurse Practitioner | 1500 Military St S Ste 11, Hamilton, AL 35570-5050 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765940 | Hamilton Pharmacy, LLC | Pharmacy | 1508 Military Street S, Hamilton, AL 35570 | 2017-05-01 |
| 1962673251 | Detra Cale-ellis | Chiropractor | 595 Bexar Ave W, Hamilton, AL 35570 | 2008-03-14 |
| 1922295625 | Center for Cosmetic Dentistry and Orthodontics | Dentist | 571 Bexar Ave W, Hamilton, AL 35570 | 2007-09-27 |
| 1891916680 | Stephen G Sanders | Specialist | 1256 Military Street South, Hamilton, AL 35570 | 2007-05-01 |
| 1235288226 | Martha Gail Southern | Nurse Practitioner | 2448 Military St South, Hamilton, AL 35570 | 2007-01-09 |
| 1750458550 | Marion County Treatment Center | Clinic/Center | 1879 Military St South, Hamilton, AL 35570 | 2006-11-29 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1265515472 | Stephen Erskine Bolt | Dentist | 1760 Military Highway So, Dr Dale E Bolt, Hamilton, AL 35570 | 2006-10-23 |
| 1720161201 | State of Alabama Department of Public Health | Home Health | 2448 Military Street South, Hamilton, AL 35570 | 2006-10-20 |
| 1588759088 | Bryan D Serena | Chiropractor | 1925 Military St S., Hamilton, AL 35570 | 2006-10-03 |
| Find all providers in zip 35570 | ||||
| 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 |
|---|---|---|---|---|
| 1982269205 | Colm Mccarthy | Orthopaedic Surgery | 237 Barton Street East, Hamilton, ONTARIO L9B2T8 | 2019-05-02 |
| 1437532025 | Trihealth Os, LLC | Orthopaedic Surgery | 2499 Ross-millville Rd., Hamilton, OH 45013-0000 | 2015-07-01 |
| 1992736177 | James H Chandler | Orthopaedic Surgery | 363 Coyote Butte Rd, Hamilton, MT 59840-9136 | 2006-07-05 |
| 1154381184 | Scott D Miller | Orthopaedic Surgery | 3705 Quakerbridge Road, Suite 103, Hamilton, NJ 08619 | 2006-03-24 |
| 1861451452 | Ahmar Shakir | Orthopaedic Surgery | 3635 Quakerbridge Rd Ste 3, Hamilton, NJ 08619-1247 | 2006-03-21 |
| 1033186655 | Michael Dolecki | Orthopaedic Surgery | 1200 Westwood Dr., Hamilton, MT 59840-2345 | 2006-03-02 |
| 1053384040 | John M Fuhrman | Orthopaedic Surgery | 1150 Westwood Dr Ste C, Hamilton, MT 59840-5318 | 2006-02-09 |
| 1740275759 | Walter Louis Zancan | Orthopaedic Surgery | 50 Riverfront Plz, Hamilton, OH 45011-2718 | 2005-09-15 |
| 1235121633 | Rudolph A Buckley | Orthopaedic Surgery | 85 College St, Hamilton, NY 13346-1227 | 2005-08-22 |
| 1427059815 | Donald Philip Stickney | Orthopaedic Surgery | 840 Nw Washington Blvd, Ste. A, Hamilton, OH 45013-6384 | 2005-08-09 |
| Find all providers in HAMILTON | ||||
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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.