ORTHO EXPRESS HOLDING COMPANY, LLC (NPI# 1710545439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710545439 |
| Entity Type | Organization |
| Organization Name | ORTHO EXPRESS HOLDING COMPANY, LLC |
| Other Organization Name | ORTHOXPRESS OF STARKVILLE |
| Practice Address |
101 Wilburn Way Starkville MS 39759-3693 |
| Mailing Address |
206 Oxford Rd New Albany MS 38652-3115 |
| Practice Telephone | 6623380123 |
| Practice Fax Number | 6625342330 |
| Mailing Telephone | 6625342227 |
| Mailing Fax Number | 6625342330 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | JENNIFER C BULLOCK (PRESIDENT) |
| Authorized Official Telephone | 6625342227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OrthoXpress of Starkville | Doing Business As Name - Organization |
| OrthoXpress of West Point | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1780218289 | Ortho Express Holding Company, LLC | Podiatrist | 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 | 2020-02-24 |
| 1518527688 | Ortho Express Holding Company, LLC | Podiatrist | 1200 Office Park Dr, Oxford, MS 38655-3597 | 2019-06-19 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1720506264 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 3952c N Gloster St, Tupelo, MS 38804-0913 | 2017-09-05 |
| 1578189973 | Ortho Express Holding Company, LLC | Clinic/Center | 806 Earl Frye Blvd, Amory, MS 38821-5505 | 2020-06-22 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1649748252 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 2601 Getwell Rd Ste 4, Corinth, MS 38834-6762 | 2018-11-13 |
| Street Address |
101 WILBURN WAY |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068004 | Maggie Martin Fair | Nurse Practitioner | 101 Wilburn Way, Starkville, MS 39759-3693 | 2006-05-11 |
| 1720597123 | Christopher Micheal Lange | Nurse Practitioner | 101 Wilburn Way, Starkville, MS 39759-3693 | 2017-09-28 |
| 1730538539 | Brandy Blanton | Nurse Practitioner | 101 Wilburn Way, Starkville, MS 39759-3693 | 2016-06-13 |
| 1467809962 | Amanda Jones | Nurse Practitioner | 101 Wilburn Way, Starkville, MS 39759-3693 | 2016-05-16 |
| 1033407044 | Mary Margaret Crowson | Physical Therapist | 101 Wilburn Way, Starkville, MS 39759-3693 | 2011-07-12 |
| 1033362546 | Paula Nicole Shoemake, Md, Pllc | Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2008-10-28 |
| 1598774333 | R. Allen Butler, M.d., Pa | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2006-08-07 |
| 1194752246 | Robert Allen Butler II | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209727 | Martin M Pomphrey Jr. | Orthopaedic Surgery | 307 Hospital Rd, Starkville, MS 39759-2155 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821585241 | Jazzma Trice | Orthopaedic Surgery | 4381 S Eason Blvd Ste 303, Tupelo, MS 38801-6584 | 2018-04-20 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1720506264 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 3952c N Gloster St, Tupelo, MS 38804-0913 | 2017-09-05 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1063624948 | Richard D. Rainey | Orthopaedic Surgery | 1211 South Gloster, Suite A, Tupelo, MS 38801 | 2007-05-04 |
| 1053530246 | Orthoone Sports Medicine & Orthopaedics, Pllc | Orthopaedic Surgery | 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 | 2007-04-25 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1821490723 | The University of Southern Mississippi | Orthopaedic Surgery | 118 College Dr, 5017, Hattiesburg, MS 39406-0002 | 2014-09-23 |
| 1407263056 | Marie Joyce Barron | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-15 |
| 1760627996 | Glenn Anthony Brien Jr. | Orthopaedic Surgery | 104 Burney Dr, Flowood, MS 39232-6621 | 2008-12-02 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on ORTHO EXPRESS HOLDING COMPANY, LLC.
| 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.