ADVANCED FOOT CLINIC PLLC (NPI# 1275701294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275701294 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT CLINIC PLLC |
| Practice Address |
2475 Lakeland Dr Suite B Flowood MS 39232-9505 |
| Practice Telephone | 6019363445 |
| Practice Fax Number | 6019367434 |
| Mailing Telephone | 6019363445 |
| Mailing Fax Number | 6019367434 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | MR. FARZAD FARYABI (OWNER) |
| Authorized Official Telephone | 6019363445 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 80147 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS BLUE SHIELD | 427495756 | 01 |
| MS | 00120443 | 05 |
| Street Address |
2475 LAKELAND DR SUITE B |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295892636 | Ricardo T Valle | Dentist | 2475 Lakeland Dr, Suite G, Flowood, MS 39232-9505 | 2007-01-03 |
| 1215551460 | Stephen A Greer | Dentist | 2475 Lakeland Dr, Flowood, MS 39232-9505 | 2020-06-03 |
| 1861891921 | Taaka Williams | Physical Therapist | 2475 Lakeland Dr, Flowood, MS 39232-9505 | 2014-08-14 |
| 1659785202 | Karla Haik | Dentist | 2475 Lakeland Dr, Flowood, MS 39232-9505 | 2014-06-11 |
| 1780891010 | John Peeples | Occupational Therapist | 2475 Lakeland Dr, Suite A, Flowood, MS 39232-9505 | 2007-05-17 |
| 1720104763 | Tarsha James | Occupational Therapist | 2475 Lakeland Dr, Flowood, MS 39232-9505 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518527688 | Ortho Express Holding Company, LLC | Podiatrist | 1200 Office Park Dr, Oxford, MS 38655-3597 | 2019-06-19 |
| 1932682515 | Feltz Vision Center Ms LLC | Podiatrist | 7716 Old Canton Rd Ste C, Madison, MS 39110-9299 | 2018-09-11 |
| 1881193449 | Dr Michael S Zaleski | Podiatrist | 2310 4th St Ste A, Meridian, MS 39301-5819 | 2018-02-08 |
| 1760905145 | Dr Michael S Zaleski | Podiatrist | 206 Bay Ave Ste A, Richton, MS 39476-2941 | 2017-07-18 |
| 1184009086 | River Health Care, LLC | Podiatrist | 426 Abbey Woods, Brandon, MS 39047-7719 | 2015-07-21 |
| 1528440195 | Dr Michael S. Zaleski | Podiatrist | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-06-19 |
| 1982091096 | Aaron Israel | Podiatrist | 1837 Cooper Rd., Picayune, MS 39466-5576 | 2015-04-16 |
| 1689096612 | Podiatry Group Inc | Podiatrist | 122 5th Ave, Suite A, Mccomb, MS 39648-4159 | 2014-01-10 |
| 1417234022 | Podiatry Associates Pllc | Podiatrist | 56 Sgt Prentiss Dr, Natchez, MS 39120-4726 | 2011-11-10 |
| 1649413246 | Glossie M Turner-jointer | Podiatrist | 4101 Max St, Moss Point, MS 39563-5555 | 2009-04-13 |
| 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.