MSK GROUP, PC (NPI# 1619526852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619526852 |
| Entity Type | Organization |
| Organization Name | MSK GROUP, PC |
| Other Organization Name | MSK GROUP, PC |
| Practice Address |
7900 Airways Blvd Bldg B102 Southaven MS 38671-4118 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5754 |
| Practice Telephone | 6625482965 |
| Practice Fax Number | 6623499023 |
| Mailing Telephone | 9012591673 |
| Mailing Fax Number | 9012597636 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | RENNA BAGGETT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9012591673 |
| Is Organization Subpart | Y |
| Parent Organization Name | MSK GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MSK Group, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971154 | Msk Group, PC | Orthopaedic Surgery | 1350 Concourse Ave, Suite 363, Memphis, TN 38104 | 2017-02-13 |
| 1952626756 | Msk Group, PC | Physical Therapist | 9950 Crooked Creek Dr., Collierville, TN 38017 | 2010-04-05 |
| 1326378803 | Msk Group, PC | Physical Medicine & Rehabilitation | 1995 Highway 51 S Ste 208, Covington, TN 38019-3660 | 2010-01-06 |
| 1942397534 | Msk Group, PC | Physical Therapist | 8040 Wolf River Blvd, Suite 100, Germantown, TN 38138 | 2006-10-06 |
| 1528617768 | Msk Group, PC | Orthopaedic Surgery | 6025 Walnut Grove Rd Ste 207, Memphis, TN 38120-2122 | 2019-09-10 |
| 1740688811 | Msk Group, PC | Durable Medical Equipment & Medical Supplies | 7580 Clarington Cv, Southaven, MS 38671 | 2014-12-05 |
| 1821435884 | Msk Group, PC | Orthopaedic Surgery | 4515 Poplar Ave, Suite 206, Memphis, TN 38117 | 2013-05-31 |
| 1457681934 | Msk Group, PC | Physical Medicine & Rehabilitation | 8040 Wolf River Blvd, Suite 102, Germantown, TN 38138 | 2010-01-06 |
| 1255584009 | Msk Group, PC | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119 | 2008-10-24 |
| 1558512178 | Msk Group, PC | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2008-10-01 |
| Street Address |
7900 AIRWAYS BLVD BLDG B102 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| 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 |
|---|---|---|---|---|
| 1902969751 | The Office of Bone and Joint Surgery, P.C. | Orthopaedic Surgery | 7900 Airways Blvd Bldg A1, Southaven, MS 38671-4116 | 2006-12-19 |
| 1376557892 | Earl Lynn Phillips | Orthopaedic Surgery | Msk Group, PC, 7900 Airways Blvd, Ste. B102, Southaven, MS 38671 | 2006-07-28 |
| 1699761387 | Gregory D Dabov | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2005-09-27 |
| 1013278084 | William Jacob Weller | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2012-06-06 |
| 1114175585 | Mid-south Orthopedic Hospitalists LLC | Orthopaedic Surgery | 7535 Airways Blvd, Southaven, MS 38671-5834 | 2008-08-28 |
| 1437299344 | Mississippi Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 391 Southcrest Cir, Suite 205, Southaven, MS 38671-6730 | 2007-02-08 |
| 1124106133 | Timothy J Micek | Orthopaedic Surgery | 3964 Goodman Rd E, Suite 128, Southaven, MS 38672-8761 | 2006-11-01 |
| 1932121662 | Claiborne Ashby Christian | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-07-24 |
| 1407813736 | John Tom Morris Jr. | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-28 |
| 1568429124 | James Carroll Varner | Orthopaedic Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-04-27 |
| Find all providers in SOUTHAVEN | ||||
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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.