SOUTHERN BONE & JOINT SPECIALISTS, PA (NPI# 1487901807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487901807 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BONE & JOINT SPECIALISTS, PA |
| Practice Address |
1215 Highway 98 Byp Columbia MS 39429-3702 |
| Mailing Address |
3688 Veterans Memorial Dr Suite 200 Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015547400 |
| Practice Fax Number | 6015547488 |
| Mailing Telephone | 6015547400 |
| Mailing Fax Number | 6015547488 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Authorized Official Name | MR. DAVID M BURCKEL (CEO) |
| Authorized Official Telephone | 6015547449 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN BONE & JOINT SPECIALISTS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1760098750 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1428 Azalea Dr S, Wiggins, MS 39577-8195 | 2020-09-16 |
| 1841635034 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 30 Circle J Dr, #1, Laurel, MS 39440-1980 | 2013-05-02 |
| 1184965170 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 128 Highland Pkwy, Suite 100, Picayune, MS 39466-5577 | 2013-03-15 |
| 1497002810 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 701 S Holly Ave, Collins, MS 39428-3894 | 2012-08-06 |
| 1831110725 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 3688 Veterans Memorial Drive, Suite 200, Hattiesburg, MS 39401 | 2006-07-23 |
| Street Address |
1215 HIGHWAY 98 BYP |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888900 | Myles Devin Rodgers | Physical Therapist | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2019-06-05 |
| 1407286529 | James Price | Physical Therapist | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| 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 |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1215282819 | Lexington County Health Services District, Inc. | Orthopaedic Surgery | 810 Mallet Hill Road, Columbia, SC 29223 | 2012-07-19 |
| Find all providers in COLUMBIA | ||||
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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.