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MISSISSIPPI ORTHOPAEDIC INSTITUTE NPI 1659575728


NPI Information

NPI: 1659575728
Provider Name: MISSISSIPPI ORTHOPAEDIC INSTITUTE
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 25D1082861

Address:
15190 COMMUNITY RD
SUITE 120
GULFPORT, MS
ZIP 39503
Phone: (228) 328-2400
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MISSISSIPPI ORTHOPAEDIC INSTITUTE is a specialist in Gulfport, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISSISSIPPI ORTHOPAEDIC INSTITUTE NPI is 1659575728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15190 COMMUNITY RD
SUITE 120
GULFPORT, MS
ZIP 39503-484
Phone: (228) 328-2400
Fax: (228) 328-4200

The provider's authorized official is Paula F Smith .
The authorized official title is Administrative Director and has the following contact phone number (228) 328-2400.

The CLIA number assigned to this NPI record is 25D1082861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 3/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist14698MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03419MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
204232510MEDICAIDMISSISSIPPI
35707330001MEDICARE NSCMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.