Champion Orthopaedics Desoto, Pllc, NPI 1619346111
Orthopaedic Surgery Physician in Olive Branch, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1619346111 |
| NPI Entity Type | Organization |
| Provider Name |
Champion Orthopaedics Desoto, Pllc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6518 Goodman Rd Ste 104, Olive Branch, MS, US |
| Provider Mailing Address | Po Box 1607, Olive Branch, MS, US, 386540955 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Jennifer C Bullock |
| Official Position | PRESIDENT |
| Phone | 662-534-2227 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Orthopaedic Surgery Physician |
| Classification | |
| Group | |
| Description | An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 02654844 | MS | MEDICAID | 05 |
| 512G700048 | MS | MEDICARE PTAN | 01 |
| 6131110004 | MS | MEDICARE DME PTAN | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | Jeff Pipkins direct email | DIRECT | CSV | Yes | 6518 Goodman Rd Ste 104, Olive Branch, MS, US |
| DIRECT | [email protected] | Dr. Micek's Direct Email | DIRECT | CSV | Yes | 6518 Goodman Rd Ste 104, Olive Branch, MS, US |
| DIRECT | [email protected] | Kevin Yekaitis's Direct Email | DIRECT | CSV | Yes | 6518 Goodman Rd Ste 104, Olive Branch, MS, US |
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