HANCOCK ORTHOPEDIC CLINIC (HANCOCK MEDICAL CENTER) NPI 1134305352

Orthopaedic Surgery in Diamondhead, MS

NPI 1134305352 Organization Orthopaedic Surgery

About HANCOCK ORTHOPEDIC CLINIC (HANCOCK MEDICAL CENTER)

Hancock Orthopedic Clinic (hancock Medical Center) is a provider established in Diamondhead, Mississippi specializing in orthopaedic surgery. The NPI number of Hancock Orthopedic Clinic (hancock Medical Center) is 1134305352 and was assigned on January 2008. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Hancock Orthopedic Clinic (hancock Medical Center) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hancock Orthopedic Clinic. The authorized official of this NPI record is Mr. Donald L Wade Cpa (Chief Financial Officer)

NPI

1134305352

Provider NameHANCOCK ORTHOPEDIC CLINIC (HANCOCK MEDICAL CENTER)
Provider Location Address4540 SHEPHERD SQUARE SUITE C DIAMONDHEAD, MS 39525
Provider Mailing AddressP.O. BOX 2790 BAY SAINT LOUIS, MS 39521
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameHANCOCK ORTHOPEDIC CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date01-17-2008
Last Update Date10-08-2009


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn 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.

Business Address

HANCOCK ORTHOPEDIC CLINIC
4540 SHEPHERD SQUARE
SUITE C
DIAMONDHEAD, MS
ZIP 39525
Phone: (228) 255-8526
Fax: (228) 255-8527

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Mailing Address

HANCOCK ORTHOPEDIC CLINIC
P.O. BOX 2790
BAY SAINT LOUIS, MS
ZIP 39521
Phone: (228) 467-8700
Fax: (228) 467-8799



Authorized Official

Authorized Official NameMR. DONALD L WADE CPA
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(228) 467-8700

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003007006HANCOCK MEDICAL CENTER
Organization
Clinic/Center (Urgent Care)4540 SHEPHERD SQUARE SUITE B
DIAMONDHEAD, MS 39525
(228) 255-8216

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.