MITIAS ORTHOPAEDICS, PLLC (NPI# 1972791978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972791978 |
| Entity Type | Organization |
| Organization Name | MITIAS ORTHOPAEDICS, PLLC |
| Practice Address |
206 Oxford Rd New Albany MS 38652 |
| Mailing Address |
Po Box 15580 Belfast ME 04915-4050 |
| Practice Telephone | 6625342227 |
| Practice Fax Number | 6625342330 |
| Mailing Telephone | 6625342227 |
| Mailing Fax Number | 6625342330 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MR. HANNA M MITIAS (OWNER) |
| Authorized Official Telephone | 6625342227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
13655 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02654844 | 05 |
| Other Name | Type Code |
|---|---|
| Champion Orthopaedics, PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992109094 | Mitias Orthopaedics, Pllc | Durable Medical Equipment & Medical Supplies | 6518 Goodman Rd Ste 104, Olive Branch, MS 38654-9809 | 2014-10-17 |
| Street Address |
206 OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293655 | David Bradley Robbins | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-07 |
| 1932730082 | Zach Glenn | Nurse Practitioner | 206 Oxford Rd, New Albany, MS 38652-3115 | 2020-01-28 |
| 1528603859 | Daniel Murry Eddings | Nurse Practitioner | 206 Oxford Rd, New Albany, MS 38652-3115 | 2019-11-11 |
| 1770007882 | Kma Pharmacy, LLC | Pharmacy | 206 Oxford Rd, New Albany, MS 38652-3115 | 2017-07-31 |
| 1679018410 | Cassie Allred | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2017-01-04 |
| 1679025787 | Jeffrey Pipkin | Nurse Practitioner | 206 Oxford Rd, New Albany, MS 38652-3115 | 2016-10-25 |
| 1679029276 | Alex T Hill | Registered Nurse | 206 Oxford Rd, New Albany, MS 38652-3115 | 2016-09-01 |
| 1598932048 | Orthoone Orthopaedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 206 Oxford Rd, New Albany, MS 38652-3115 | 2008-05-14 |
| 1205020609 | Mitias Orthopaedics and Sports Medicine | Surgery | 206 Oxford Rd, New Albany, MS 38652-3115 | 2007-08-29 |
| 1790909414 | Michael Brady Page | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1144209727 | Martin M Pomphrey Jr. | Orthopaedic Surgery | 307 Hospital Rd, Starkville, MS 39759-2155 | 2006-01-12 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1710545439 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2019-05-29 |
| 1821490723 | The University of Southern Mississippi | Orthopaedic Surgery | 118 College Dr, 5017, Hattiesburg, MS 39406-0002 | 2014-09-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
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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.