DR. JAMES TERENCE PHELAN (NPI# 1194805457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194805457 |
| Entity Type | Individual |
| Full Name | DR. JAMES TERENCE PHELAN |
| Credential | DPM |
| Practice Address |
587 Highway 51 Ste T2 Ridgeland MS 39157-2506 |
| Practice Telephone | 6017907710 |
| Practice Fax Number | 6017907712 |
| Mailing Telephone | 6017907710 |
| Mailing Fax Number | 6017907712 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
80140 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00118410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1639649619 | James Joseph Phelan | Social Worker | 77 Mulberry St, Leicester, MA 01524-1011 | 2018-12-03 |
| 1700974979 | James T Phelan | Dentist | 1225 Breckenridge Dr Ste 101, Little Rock, AR 72205-1565 | 2006-10-11 |
| 1598736290 | James Richard Phelan | Otolaryngology | 1290 Hercules Ave, Wyle Laboratories, Houston, TX 77058-2749 | 2006-01-30 |
| 1255313656 | James Michael Phelan | Dentist | 3 Howarth Ave, South Attleboro, MA 02703-5926 | 2005-11-19 |
| 1447757372 | James Patrick Phelan | Social Worker | 2450 W Ridge Rd, Rochester, NY 14626-3037 | 2018-04-08 |
| 1427407279 | James Phelan | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2016-06-11 |
| 1760643589 | James Gordon Phelan | Audiologist-Hearing Aid Fitter | 2261 North St, Beaumont, TX 77701-1552 | 2008-06-24 |
| 1093871832 | James Edward Phelan | Dentist | 1105 Lakeview Ave, Dracut, MA 01825-4762 | 2006-12-28 |
| 1841206950 | James Edward Phelan Jr. | Social Worker | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-07-31 |
| Street Address |
587 HIGHWAY 51 STE T2 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245424688 | La-miss Podiatry & Foot Clinic | Durable Medical Equipment & Medical Supplies | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2007-08-29 |
| 1962538082 | Stephanie Fay Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913842 | Premier Podiatry LLC | Podiatrist | 5434 River Thames Rd, Jackson, MS 39211-4133 | 2020-05-12 |
| 1396085015 | Marion Shaun Lund | Podiatrist | 1194 S 18th Street Ext, Oxford, MS 38655-5378 | 2013-02-15 |
| 1942525738 | Jeffery John Vanyperen Jr. | Podiatrist | 1107 Earl Frye Blvd Ste 1, Amory, MS 38821-5519 | 2010-04-05 |
| 1982939773 | Frank Eldridge Evans | Podiatrist | 2512 25th Ave, Hwy 49 Suite 3, Gulfport, MS 39501-4814 | 2009-10-12 |
| 1942463567 | Stanitia W. Davis | Podiatrist | 953 North St, Suite A, Jackson, MS 39202-2615 | 2008-07-03 |
| 1275732596 | Bernard J Meadows Jr. | Podiatrist | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2007-07-17 |
| 1720171002 | Joann Orphanos | Podiatrist | 15095 Dedeaux Road, Gulfport, MS 39503-3284 | 2006-10-01 |
| 1912273814 | Davis Podiatry, LLC | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2012-03-26 |
| 1114201423 | Robert Crockett Enterprise LLC | Podiatrist | 2310 4th St, Suite A, Meridian, MS 39301-5819 | 2011-10-05 |
| 1699070326 | Magnolia Foot Clinic LLC | Podiatrist | 2310 4th St, Suite A, Meridian, MS 39301-5819 | 2011-01-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.