NPIMap

Organization Active NPI

Advanced Orthopedics, PLLC

  • Specialist
  • Gulfport, MS
National Provider Identifier
1568410058
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED ORTHOPEDICS, PLLC
Practice address
1639 E Pass Rd
Gulfport, MS 39507
Phone
(228) 822-2663
Fax
(228) 604-2255
NPI assigned
May 5, 2006
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Allan Arledge
Title
Manager
Phone
(205) 533-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1639 E Pass Rd
Gulfport, MS 39507

Mailing address

PO Box 7144
Gulfport, MS 39506-7144
Phone (228) 822-2663

Other identifiers 2

IdentifierTypeStateIssuer
00127085MedicaidMS
DA3947OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000458 MS Part B Supplier - Clinic/Group Practice 7719899046 Receives reassigned benefits from 1 practitioner
Practice locations: Gulfport, MS
O20100930087101 MS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7719899046 Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Locations

12080 New Orleans Ave N
Gulfport, MS 39503
Phone (228) 832-9933

1500 45th Ave
Gulfport, MS 39501
Phone (228) 864-6244

1639 E Pass Rd
Gulfport, MS 39507
Phone (228) 396-2776

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1568410058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7144",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395067144",
            "telephone_number": "228-822-2663",
            "fax_number": "228-604-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-822-2663",
            "fax_number": "228-604-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "ARLEDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-533-4333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127085",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA3947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.