Allstar Orthopedics PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

15591 Issued in MS

Legal business name

ALLSTAR ORTHOPEDICS PLLC

Practice address

2725 Andrew Ave
Pascagoula, MS 39567-1815

Phone

(228) 762-3993

Fax

(228) 762-3839

NPI assigned

Feb 15, 2007

Last updated

Mar 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Dewayne Black, MDNPI 1316939358

Title

Owner Orthopedic Surgeon

Phone

(228) 762-3993

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Arthur Dewayne Black, MD

  • Orthopaedic Surgery Physician
  • Pascagoula, MS
  • NPI 1316939358
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1619010691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALLSTAR ORTHOPEDICS, PLLC",
            "address_2": "P O BOX 1918",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "39553",
            "telephone_number": "228-762-3993",
            "fax_number": "228-762-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 ANDREW AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671815",
            "telephone_number": "228-762-3993",
            "fax_number": "228-762-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "228-762-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "15591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "573510548D",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03504519",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.