MSK GROUP, PC (NPI# 1740688811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740688811 |
| Entity Type | Organization |
| Organization Name | MSK GROUP, PC |
| Practice Address |
7580 Clarington Cv Southaven MS 38671 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9012591600 |
| Practice Fax Number | 9012591698 |
| Mailing Telephone | 9017258347 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | KIM JENKINS (CEO) |
| Authorized Official Telephone | 9017258347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
TN | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 7187860 | 05 | |
| TN | 3371161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526852 | Msk Group, PC | Orthopaedic Surgery | 7900 Airways Blvd Bldg B102, Southaven, MS 38671-4118 | 2019-09-10 |
| 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 |
| 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 |
7580 CLARINGTON CV |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425088 | Casey B Mcghee | Physical Therapist | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2005-05-24 |
| 1457845836 | Whitney Horner | Physical Therapist | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2018-06-19 |
| 1932629805 | Meredith Kelsey Mccormick | Physical Therapist | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2017-06-22 |
| 1912303447 | Msk Group PC | Nurse Practitioner | 7580 Clarington Cv, Southaven, MS 38671 | 2014-11-11 |
| 1174938344 | Specialty Surgery Center, LLC | Clinic/Center | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2014-06-26 |
| 1104007558 | Lee Grimm, M.d., P.C. | Specialist | 7580 Clarington Cv, Suite 3, Southaven, MS 38671-5657 | 2007-11-14 |
| 1568657666 | Michael E Foster Md PC | Surgery | 7580 Clarington Cv, Suite 4, Southaven, MS 38671-5657 | 2007-09-11 |
| 1861538951 | James Everett Fortune | Surgery | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2007-01-29 |
| 1215039979 | Robert Lawrence Ryan | Nurse Anesthetist, Certified Registered | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-09-02 |
| 1942302617 | Southcrest Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 7580 Clarington Cv, Southaven, MS 38671-5657 | 2006-09-02 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942746805 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 55 Physicians Ln Ste 1and2, Southaven, MS 38671-9569 | 2017-01-16 |
| 1396280962 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 480 Airport Industrial Dr Ste A, Southaven, MS 38671-5870 | 2017-01-05 |
| 1124464334 | Reach Medcare, LLC | Durable Medical Equipment & Medical Supplies | 915 Ferncliff Drive, Suite 1b, Southaven, MS 38671-2420 | 2013-05-14 |
| 1902185788 | Target Medical Inc, Ms | Durable Medical Equipment & Medical Supplies | 7065 Airways Blvd Ste 104, Southaven, MS 38671-5873 | 2011-08-10 |
| 1255661534 | Trinity Medical Solutions | Durable Medical Equipment & Medical Supplies | 9063 Millbranch Rd, Southaven, MS 38671-1419 | 2010-01-08 |
| 1255561916 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2955 Church Rd E, Southaven, MS 38671-9767 | 2009-07-16 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1437393311 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 55 Goodman Rd W, Southaven, MS 38671-9447 | 2009-04-23 |
| 1235394206 | Diabetes Store, Incorporated | Durable Medical Equipment & Medical Supplies | 7165 Swinnea Rd, B-2, Southaven, MS 38671-6360 | 2008-07-18 |
| 1457523581 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2996 Church Rd E, Southaven, MS 38671-9825 | 2008-03-28 |
| 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.