MISSISSIPPI ORTHOPAEDIC INSTITUTE
NPI 1295161404
Non-Pharmacy Dispensing Site in Gulfport, MS

Active since September 19, 2013
15190 COMMUNITY RD STE 120, GULFPORT, MS 39503(228) 328-2400(228) 328-4200 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mississippi Orthopaedic Institute NPPES

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

MISSISSIPPI ORTHOPAEDIC INSTITUTE (NPI 1295161404) is a healthcare organization registered as a non-pharmacy dispensing site in Gulfport, Mississippi and active in the NPI registry since September 2013. The organization lists Robert Lance Johansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1295161404
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMISSISSIPPI ORTHOPAEDIC INSTITUTE
Location Address15190 COMMUNITY RD STE 120Gulfport, MS 39503-3484
Mailing Address15190 Community Rd Suite 120Gulfport, MS 39503 · (228) 328-2400 · Fax (228) 328-4200
Fax(228) 328-4200
Organization SubpartNo
Authorized OfficialRobert Lance JohansenOwner · (228) 328-2400
Enumeration DateSeptember 19, 2013
NPI 1295161404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in MS · 14698
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
15190 COMMUNITY RD STE 120, Gulfport, MS 39503

Other Identifiers 2

Medicare UPING13997MS
Medicaid04232510MS

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Nurse Practitioner
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Physician Assistant
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Occupational Therapist
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503

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 Mississippi Orthopaedic Institute's NPI number?

The NPI number for Mississippi Orthopaedic Institute is 1295161404. It was assigned to this organization in the NPPES registry on September 19, 2013.

Where is Mississippi Orthopaedic Institute located?

Mississippi Orthopaedic Institute is located at 15190 Community Rd Ste 120, Gulfport, MS 39503. The listed phone number is (228) 328-2400.

What is Mississippi Orthopaedic Institute's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Mississippi Orthopaedic Institute was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.