University Orthopaedic Associates

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

16970 Issued in MS

Legal business name

UNIVERSITY ORTHOPAEDIC ASSOCIATES

Practice address

1410 E Woodrow Wilson Ave
Jackson, MS 39216-5114

Phone

(601) 984-6525

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

George Russell, M.D.

Title

Associate Professor

Phone

(601) 984-6525

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679600654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165114",
            "telephone_number": "601-984-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORTHOPAEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "601-984-6525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MS",
            "license": "16970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Mississippi Medical Center
• University of Mississippi Medical Center
• University of Mississippi Medical Center
• University of Mississppi Medical Center
• University Ophthalmology Associates
• University Orthopedic Associates, PLLC
• University Otolaryngology Assoc, PLLC
• University Pathology Associates, PLLC
• University Pavilion Pharmacy
• University Pediatric Associates, PLLC

• Orthopaedic Trauma Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Orthopaedic Trauma Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.