MSK GROUP PC (NPI# 1992124564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992124564 |
| Entity Type | Organization |
| Organization Name | MSK GROUP PC |
| Other Organization Name | ORTHOSOUTH |
| Practice Address |
310 Judge Smith Dr Marion AR 72364 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9016413000 |
| Practice Fax Number | 9012591698 |
| Mailing Telephone | 9017258347 |
| Mailing Fax Number | 9017012460 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | KIM E JENKINS (CEO) |
| Authorized Official Telephone | 9016413000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
E-7432 | AR | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
E-7706 | AR | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
E-7713 | AR | Allopathic & Osteopathic Physicians |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-521 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207X00000X | Orthopaedic Surgery | E-7565 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | CA9441 | 01 |
| MS | 7187860 | 05 | |
| TN | BCBS TN | 2006894 | 01 |
| AR | 110318002 | 05 | |
| TN | 3371161 | 05 |
| Other Name | Type Code |
|---|---|
| OrthoSouth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912303447 | Msk Group PC | Nurse Practitioner | 7580 Clarington Cv, Southaven, MS 38671 | 2014-11-11 |
| Street Address |
310 JUDGE SMITH DR |
| City | MARION |
| State | AR |
| Zip Code | 72364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1609427939 | Tri State Interventional Pain Clinic Pllc | Anesthesiology | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2019-09-27 |
| 1730621624 | Urology Group PC | Urology | 310 Judge Smith Dr, Marion, AR 72364 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| 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 |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1710907498 | Ralph A Parks | Orthopaedic Surgery | 1209 Snider St, Marion, VA 24354-4221 | 2006-07-19 |
| 1013956325 | Samuel G. Meredith | Orthopaedic Surgery | 1231 State Highway 77 Ste 2, Marion, AR 72364-9045 | 2006-06-05 |
| 1447209127 | Marion Orthopedics Inc | Orthopaedic Surgery | 1043 Harding Memorial Parkway, Marion, OH 43302 | 2006-05-09 |
| 1699730226 | Robert Crowell | Orthopaedic Surgery | 1138 Independence Ave, Marion, OH 43302-6318 | 2006-04-18 |
| 1649243080 | David K. Halley | Orthopaedic Surgery | 1040 Delaware Avenue, Marion, OH 43302-6416 | 2006-02-08 |
| 1215395843 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2016-02-10 |
| 1972982759 | Mission Medical Associates, Inc. | Orthopaedic Surgery | 100 Spaulding Rd, Marion, NC 28752-5115 | 2015-05-26 |
| 1386049328 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2014-11-04 |
| Find all providers in MARION | ||||
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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.