Champion Orthopaedics Desoto, Pllc, NPI 1619346111
Orthopaedic Surgery Physician in Olive Branch, MS, US

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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
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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

207X00000X

Taxonomy Name Orthopaedic Surgery Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

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 Organization Name

Champion Orthopaedics
Doing Business As

Business Address

Champion Orthopaedics Desoto, Pllc
6518 Goodman Rd Ste 104

Olive Branch, MS, US

Phone: 662-420-7350
Fax: 662-874-5214

Mailing Address

Champion Orthopaedics Desoto, Pllc
Po Box 1607
Olive Branch, MS, US
ZIP 386540955
Phone: 662-420-7350
Fax: 662-874-5214

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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IDD WAIVER SERVICES Pamela Mcandrews

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