| Msk Group Pc | |
|
7580 Clarington Cv, Southaven, MS 38671 | |
| (901) 641-3000 | |
| (901) 259-1698 |
| Full Name | Msk Group Pc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 7580 Clarington Cv, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912303447 | NPI | - | NPPES |
| CA9441 | Other | TN | RAILROAD MEDICARE |
| 388348 | Other | MS | MEDICARE PTAN PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | 22398 (Mississippi) | Primary |
| Provider Name | Daneca D Dipaolo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851324784 PECOS PAC ID: 0648183384 Enrollment ID: I20040916000493 |
| Provider Name | Claiborne A Christian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932121662 PECOS PAC ID: 4284530445 Enrollment ID: I20060202000194 |
| Provider Name | John T Morris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407813736 PECOS PAC ID: 2163591793 Enrollment ID: I20080521000744 |
| Provider Name | Christopher M Pokabla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629295209 PECOS PAC ID: 2163598145 Enrollment ID: I20080828000217 |
| Provider Name | Earl L Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376557892 PECOS PAC ID: 2961409412 Enrollment ID: I20090108000196 |
| Provider Name | Ginger L Warmath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215115845 PECOS PAC ID: 0446302574 Enrollment ID: I20091106000560 |
| Provider Name | Jim Kyle Hudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669490736 PECOS PAC ID: 3072585504 Enrollment ID: I20100914000296 |
| Provider Name | Thomas Vincent Giel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023234416 PECOS PAC ID: 0547454969 Enrollment ID: I20101029001054 |
| Provider Name | David Griffin Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013131747 PECOS PAC ID: 7012185242 Enrollment ID: I20110714000194 |
| Provider Name | David Joseph Dowling |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548263692 PECOS PAC ID: 5799863882 Enrollment ID: I20150205000339 |
| Provider Name | Robert J Cole |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144223256 PECOS PAC ID: 1254419344 Enrollment ID: I20150205000699 |
| Provider Name | Randall Lawrence Holcomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346243482 PECOS PAC ID: 1557261146 Enrollment ID: I20150205000783 |
| Provider Name | Samuel Edwin Murrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053314096 PECOS PAC ID: 7416035506 Enrollment ID: I20150209000075 |
| Provider Name | David A Deneka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871596882 PECOS PAC ID: 2365413168 Enrollment ID: I20150211000315 |
| Provider Name | Daniel T Fletcher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063638104 PECOS PAC ID: 4082787676 Enrollment ID: I20150216000276 |
| Provider Name | Casey B Mcghee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164425088 PECOS PAC ID: 3577504984 Enrollment ID: I20150216001745 |
| Provider Name | Nicholas Suknarin Chantara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306115159 PECOS PAC ID: 5799952503 Enrollment ID: I20150217000271 |
| Provider Name | Michael D Neel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720081847 PECOS PAC ID: 2961580055 Enrollment ID: I20150217001423 |
| Provider Name | Kenneth S. Weiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700889730 PECOS PAC ID: 7315025400 Enrollment ID: I20150224000579 |
| Provider Name | Michael J Sorensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396748331 PECOS PAC ID: 3779661863 Enrollment ID: I20150302000549 |
| Provider Name | Raul J Cardenas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619187697 PECOS PAC ID: 6507997848 Enrollment ID: I20150715001011 |
| Provider Name | Nicholas A Cutter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205276557 PECOS PAC ID: 9032351051 Enrollment ID: I20150918000309 |
| Provider Name | Mark P Temme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306849369 PECOS PAC ID: 3476592577 Enrollment ID: I20150925002042 |
| Provider Name | Marcus D Biggers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962636605 PECOS PAC ID: 2961648902 Enrollment ID: I20151104001166 |
| Provider Name | Nancyanne P Hickman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821474107 PECOS PAC ID: 4688981772 Enrollment ID: I20151208001796 |
| Provider Name | Hillary Leanne Hutto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679026496 PECOS PAC ID: 5799070553 Enrollment ID: I20160818001872 |
| Provider Name | Catherine T Lackie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629309463 PECOS PAC ID: 7113041484 Enrollment ID: I20161215000171 |
| Provider Name | Linda G Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760908321 PECOS PAC ID: 1850657818 Enrollment ID: I20171107001705 |
| Provider Name | Andrew John Wodowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518226398 PECOS PAC ID: 0941446611 Enrollment ID: I20180928001847 |
| Provider Name | Whitney Horner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457845836 PECOS PAC ID: 2365796026 Enrollment ID: I20181115000537 |
| Provider Name | Alex Terrill Isom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275025223 PECOS PAC ID: 3476898032 Enrollment ID: I20181231000748 |
| Provider Name | William A Hester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457770588 PECOS PAC ID: 5698065571 Enrollment ID: I20200605000369 |
| Provider Name | Christopher A Ferguson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215067996 PECOS PAC ID: 6204935257 Enrollment ID: I20200812001576 |
| Provider Name | Laurence W Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497868897 PECOS PAC ID: 7517937774 Enrollment ID: I20200917000700 |
| Provider Name | Winfred B Abrams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184940405 PECOS PAC ID: 6608095179 Enrollment ID: I20200922001436 |
| Provider Name | Suzanna Davis Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083193338 PECOS PAC ID: 9638414766 Enrollment ID: I20210315000116 |
| Provider Name | Kira Sade Fitchpatrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053877001 PECOS PAC ID: 4385055144 Enrollment ID: I20210623000045 |
| Provider Name | Peter R Henning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114314481 PECOS PAC ID: 0547575698 Enrollment ID: I20210715002160 |
| Provider Name | Laureen M Coffelt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760485585 PECOS PAC ID: 9830139740 Enrollment ID: I20210809001365 |
| Provider Name | Kori H Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861960312 PECOS PAC ID: 5193069953 Enrollment ID: I20210809001778 |
| Provider Name | Laureen M Coffelt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760485585 PECOS PAC ID: 9830139740 Enrollment ID: I20211201001919 |
| Provider Name | Shawn L Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902023278 PECOS PAC ID: 5496948648 Enrollment ID: I20220929000893 |
| Provider Name | Seung-jae Texas Song |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922388206 PECOS PAC ID: 7315163136 Enrollment ID: I20230605001207 |
| Provider Name | Leigh Taylor Kauker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700515160 PECOS PAC ID: 6507248705 Enrollment ID: I20230922003767 |
| Provider Name | Constance Victoria Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306348826 PECOS PAC ID: 2961757992 Enrollment ID: I20240105003135 |
| Provider Name | Sarah G Youngblood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992470082 PECOS PAC ID: 2668864265 Enrollment ID: I20240111000051 |
| Provider Name | Matthew Thomas Craighead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245995364 PECOS PAC ID: 5294126553 Enrollment ID: I20240424002655 |
| Provider Name | Andrew Conner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558038026 PECOS PAC ID: 9133526650 Enrollment ID: I20240501000075 |
| Provider Name | Julie Scarpace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205839123 PECOS PAC ID: 9638119548 Enrollment ID: I20240502001487 |
| Provider Name | Heath Taylor Griffith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710552559 PECOS PAC ID: 2668812876 Enrollment ID: I20240503002337 |
| Provider Name | Kurt R Piatkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558335299 PECOS PAC ID: 9638107188 Enrollment ID: I20240806000545 |
| Provider Name | Olivia L Holmes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457922320 PECOS PAC ID: 7416494190 Enrollment ID: I20240827002237 |
| Provider Name | Jason A Weaver |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972657252 PECOS PAC ID: 9234220146 Enrollment ID: I20240923000127 |
| Provider Name | Bonnie C Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924961 PECOS PAC ID: 7214325455 Enrollment ID: I20240923001335 |
| Provider Name | Melanie A Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215455639 PECOS PAC ID: 4082970728 Enrollment ID: I20240925003623 |
| Provider Name | William D Murrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134109572 PECOS PAC ID: 9638164353 Enrollment ID: I20241014001132 |
| Provider Name | John Eager |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437576386 PECOS PAC ID: 6800125659 Enrollment ID: I20241114002588 |
| Provider Name | Sadie Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508604901 PECOS PAC ID: 3971037219 Enrollment ID: I20241218001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Msk Group Pc 6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5742 Ph: (901) 725-8347 | Msk Group Pc 7580 Clarington Cv, Southaven, MS 38671 Ph: (901) 641-3000 |