LA-MISS PODIATRY & FOOT CLINIC (NPI# 1245424688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245424688 |
| Entity Type | Organization |
| Organization Name | LA-MISS PODIATRY & FOOT CLINIC |
| 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 | 2007-08-29 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | DR. STEPHANIE F PHELAN (OWNER) |
| Authorized Official Telephone | 6017907710 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 80145 | MS | Suppliers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
80145 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05884801 | 05 |
| Street Address |
587 HIGHWAY 51 STE T2 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194805457 | James Terence Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2006-10-17 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779858 | Rose Marie Sotolongo | Podiatrist | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2005-09-06 |
| 1962538082 | Stephanie Fay Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1770942146 | Sarah Lynn Freed | Podiatrist | 9065 Sandidge Center Cv Ste C, Olive Branch, MS 38654-3574 | 2016-02-15 |
| 1609996982 | Larry K Cruel | Podiatrist | 4510 Office Park Dr, Jackson, MS 39206-6016 | 2007-03-30 |
| 1740309590 | Madison Foot Clinic, Pllc | Podiatrist | 980 Highway 51 Ste B, Madison, MS 39110-8409 | 2007-03-29 |
| 1386715514 | Bruce K. Boyd | Podiatrist | 211 Alcorn Dr, Corinth, MS 38834-8400 | 2006-11-10 |
| 1144316092 | Foot Clinic of Hattiesburg, P.a. | Podiatrist | 710 S 28th Ave, Ste B, Hattiesburg, MS 39402-2585 | 2006-10-05 |
| 1376561779 | Ricky Roach | Podiatrist | 999 N Halstead Rd, Ocean Springs, MS 39564-3105 | 2006-07-17 |
| 1972537041 | Willie James Lewis Sr. | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2006-07-11 |
| 1598037798 | Oh for Feet Sake, LLC. | Podiatrist | 368 Scarbrough St, Suite B, Richland, MS 39218-9038 | 2012-02-02 |
| 1497957120 | Advanced Foot Care Center | Podiatrist | 4510 Office Park Dr, Jackson, MS 39206-6016 | 2007-06-04 |
| 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.