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MO SERVICES LLC
NPI 1124587829
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Gulfport, MS

Active since March 13, 2019
15190 COMMUNITY RD., SUITE 120, GULFPORT, MS 39503(228) 328-2400(228) 328-4200 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mo Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MO SERVICES LLC (NPI 1124587829) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Gulfport, Mississippi and active in the NPI registry since March 2019. The organization lists Robert Lance Johansen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124587829
Entity TypeOrganization
Primary Taxonomy207XS0114X
Legal Business NameMO SERVICES LLC
Location Address15190 COMMUNITY RD., SUITE 120Gulfport, MS 39503-3484
Mailing Address15190 Community Rd., Suite 120Gulfport, MS 39503-3484 · (228) 328-2400 · Fax (228) 328-4200
Phone(228) 328-2400
Fax(228) 328-4200
Organization SubpartNo
Authorized OfficialRobert Lance JohansenCeo · (228) 328-2400
Enumeration DateMarch 13, 2019
✔ NPI 1124587829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
15190 COMMUNITY RD., Gulfport, MS 39503
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Other Identifiers 1

Medicaid04232510MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mo Services LLC's NPI number?

The NPI number for Mo Services LLC is 1124587829. It was assigned to this organization in the NPPES registry on March 13, 2019.

Where is Mo Services LLC located?

Mo Services LLC is located at 15190 Community Rd. Suite 120, Gulfport, MS 39503. The listed phone number is (228) 328-2400.

What is Mo Services LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

When was this NPI record last updated?

The NPPES record for Mo Services LLC was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.