Active NPI
North East Orthopaedics PA
- Orthopaedic Surgery Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 13958
- 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
- Last updated
- Dec 28, 2010
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 13958 | MS | Primary |
Addresses
Primary practice location
4381 S Eason Blvd
Suite 102
Tupelo, MS 38801-6586
Mailing address
4381 S Eason Blvd
Suite 102
Tupelo, MS 38801-6583
Phone (662) 377-6700
National Provider Directory
National Provider DirectoryLocations
4381 S Eason Blvd
Ste 102
Tupelo, MS 38801
Phone (662) 377-3380
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1659306124
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- 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 (Cardiology Associates of North MS Clinic)
Sources for this page
- 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.