Organization Active NPI

Orthopaedic Specialists of Mississippi LLC

  • Orthopaedic Surgery Physician
  • Oxford, MS
National Provider Identifier
1649933185
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPECIALISTS OF MISSISSIPPI LLC
Practice address
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone
(662) 767-4200
Fax
(662) 767-4201
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Rowland Roberson, MD
Title
Authorized Official
Phone
(662) 767-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477

Mailing address

100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone (662) 767-4200

National Provider Directory

National Provider Directory

Locations

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1649933185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 330",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554477",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 330",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554477",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "ROWLAND",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-767-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.