Ortho Express Holding Company, Llc | |
3952 N Gloster St Ste C, Tupelo, MS 38804-0913 | |
(662) 350-0737 | |
(662) 534-2330 |
Full Name | Ortho Express Holding Company, Llc |
---|---|
Type | Facility |
Speciality | Clinic/center - Medical Specialty |
Location | 3952 N Gloster St Ste C, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780218289 | NPI | - | NPPES |
Provider Name | Alexander Thomas Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679029276 PECOS PAC ID: 7416236567 Enrollment ID: I20161114001951 |
Provider Name | Brandy L Blanton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730538539 PECOS PAC ID: 1951682236 Enrollment ID: I20161228000706 |
Provider Name | Jeffrey Allen Pipkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679025787 PECOS PAC ID: 2961786835 Enrollment ID: I20170222000278 |
Provider Name | Bradley Dillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184130692 PECOS PAC ID: 0749540227 Enrollment ID: I20180131002635 |
Provider Name | Tina Gail Bryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760969208 PECOS PAC ID: 0941549778 Enrollment ID: I20190222000371 |
Provider Name | Daniel Murry Eddings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528603859 PECOS PAC ID: 3476987769 Enrollment ID: I20191219000620 |
Provider Name | Zach Glenn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932730082 PECOS PAC ID: 1557799251 Enrollment ID: I20200311001641 |
Provider Name | Tim Pickens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265062541 PECOS PAC ID: 2961830187 Enrollment ID: I20200320001744 |
Provider Name | Johnathan Heath Thompson |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1356621130 PECOS PAC ID: 8820223902 Enrollment ID: I20220420002643 |
Provider Name | Matthew Reese Pannell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407506603 PECOS PAC ID: 8921485715 Enrollment ID: I20220517001362 |
Provider Name | Cameron Mitchell Wilkerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386378396 PECOS PAC ID: 0446635338 Enrollment ID: I20220913001948 |
Provider Name | Colton H Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568841088 PECOS PAC ID: 8921460171 Enrollment ID: I20230820000008 |
Mailing Address | Practice Location Address |
---|---|
Ortho Express Holding Company, Llc 206 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-2227 | Ortho Express Holding Company, Llc 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 Ph: (662) 350-0737 |