Stephen Robert Southworth is a Tupelo, Mississippi based male orthopedic surgeon with 39 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Medical College Of Ohio in 1985. He is also affiliated with hospitals like North Mississippi Medical Center and Clay County Medical Corporation. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephen Robert Southworth is 16972 for Orthopedic Surgery in Mississippi.
Stephen Robert Southworth deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Stephen Robert Southworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
MD
Experience:
39+ years
Medical School Attended:
Medical College Of Ohio
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi, 38801-4751
Phone:
662-377-2663
Fax:
662-377-6706
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789586561
Enrollment ID:
I20100324000959
NPI Number:
1437120730
NPI Enumeration Date:
27 Jan, 2006
NPI Last Update On:
26 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen Robert Southworth are as mentioned below.
License Number
Specialization
State
Status
16972
Orthopedic Surgery
Mississippi
Primary
16972
Adult Reconstructive Orthopaedic Surgery
Mississippi
Secondary
16972
Foot and Ankle Surgery
Mississippi
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
North Mississippi Medical Center (250004)
Tupelo, MS
Acute Care Hospital
Clay County Medical Corporation (250067)
West point, MS
Acute Care Hospital
Red Bay Hospital (011302)
Red bay, AL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Stephen Robert Southworth is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopaedic Institute Of North Mississippi, Llc (7113914078)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen Robert Southworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00123102
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi
Zip:
38801-4751
Phone Number:
662-377-2663
Fax Number:
662-377-6706
Patients can reach Stephen Robert Southworth at 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi or can call to book an appointment on 662-377-2663. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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