Active NPI
Tupelo Orthopedic Clinic PA
- Orthopaedic Surgery Physician
- Tupelo, MS
National Provider Identifier
1245258193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TUPELO ORTHOPEDIC CLINIC PA
- Practice address
- 808 Garfield St
Tupelo, MS 38801-5749 - Phone
- (662) 844-5330
- Fax
- (662) 841-2962
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rhonda Black
- Title
- Insurance Clerk/Coder
- Phone
- (662) 844-5330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
808 Garfield St
Tupelo, MS 38801-5749
Mailing address
PO Box 1506
Tupelo, MS 38802-1506
Phone (662) 844-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9011365 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
450S Eason Blvd
Tupelo, MS 38804
Phone (601) 844-5330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Tupelo, MS
- NPI 1821016767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1245258193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "TUPELO",
"state": "MS",
"postal_code": "388021506",
"telephone_number": "662-844-5330",
"fax_number": "662-841-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 GARFIELD ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015749",
"telephone_number": "662-844-5330",
"fax_number": "662-841-2962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUPELO ORTHOPEDIC CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "INSURANCE CLERK/CODER",
"authorized_official_telephone_number": "662-844-5330",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9011365",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Tupelo Endodontics
- Tupelo Eye Center Optical Shop
- Tupelo Hand Rehabilitation LP
- Tupelo Home Health Inc (Rotech)
- Tupelo Medical Group, LLC
- Tupelo Pathology Group, P.a.
- Tupelo Plastic Surgery Clinic of Tupelo PA
- Tupelo Sleep Diagnostics (The Reggie White Sleep Disorder Center - Tupelo)
- Tupelo Smiles Family and Cosmetic Dentistry
- Tupelo Specialty Pharmacy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.