Stephen Robert Southworth in Tupelo - Adult Reconstructive Orthopaedic Surgery
Stephen Robert Southworth - NPI 1437120730
Stephen Robert Southworth is a Adult Reconstructive Orthopaedic Surgery in Tupelo, Mississippi. Stephen Robert Southworth practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Stephen Robert Southworth is 1437120730. The last update date is 2023-01-26.
Stephen Robert Southworth's current location address is 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi. You can contact this provider via phone number 6623772663 and fax number 6623776706. The mailing address for Stephen Robert Southworth is 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Robert Southworth |
|---|---|
| Address | 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi |
| Phone Number | 6623772663 |
| Fax Number | 6623776706 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437120730 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
| Address | 499 Gloster Creek Vlg Ste G1 |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388014751 |
| Phone Number | 6623772663 |
| Fax Number | 6623776706 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 16972 |
|
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, arthrosc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123102 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen Robert Southworth by the Centers for Medicare & Medicaid Services?
The Stephen Robert Southworth has been issued the NPI (National Provider Identifier) 1437120730, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stephen Robert Southworth is physically located?
The Stephen Robert Southworth is physically situated at the following address: 499 Gloster Creek Vlg Ste G1, Tupelo, MS, 388014751.
What is Stephen Robert Southworth's area of expertise and its corresponding taxonomy classification?
The Stephen Robert Southworth's field of specialization is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their areas of practice.
On what date did the Stephen Robert Southworth receive its 1437120730 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Robert Southworth was assigned its 1437120730 by the Centers for Medicare & Medicaid Services on 2006-01-27.
When was the Stephen Robert Southworth's information last updated?
The Stephen Robert Southworth's information was last updated on 2023-01-26.