North East Orthopaedics PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

13958 Issued in MS

Legal business name

NORTH EAST ORTHOPAEDICS PA

Practice address

4381 S Eason Blvd
Suite 102
Tupelo, MS 38801-6586

Phone

(662) 377-6700

Fax

(662) 377-6706

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Pillow, M.D.

Title

President

Phone

(662) 377-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1710075486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD",
            "address_2": "SUITE 102",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016583",
            "telephone_number": "662-377-6700",
            "fax_number": "662-377-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD",
            "address_2": "SUITE 102",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016586",
            "telephone_number": "662-377-6700",
            "fax_number": "662-377-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "PILLOW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-377-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "13958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02629297",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniele Nolan
• Melissa Richardson Nolan, NP-C
• Nolytan
• Sally Reagan Norman, MS
• Norris V Crump MD Internal Medicine PA
• North Mississippi Allergy and Asthma Center PLLC
• North Mississippi Ambulatory Surgery Center LLC
• North Mississippi Anesthesia, LLC
• North Mississippi Baromedical
• North Mississippi Clinics LLC

• All providers in Tupelo, MS
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.