MOSS POINT FOOT CLINIC, LLC (NPI# 1285827071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285827071 |
| Entity Type | Organization |
| Organization Name | MOSS POINT FOOT CLINIC, LLC |
| Practice Address |
4316 Mcinnis Ave Moss Point MS 39563-2812 |
| Practice Telephone | 2284742606 |
| Practice Fax Number | 2284742606 |
| Mailing Telephone | 2284742606 |
| Mailing Fax Number | 2284742606 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | DR. EDWIN ESSIEN (OWNER) |
| Authorized Official Telephone | 2284742606 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
4316 MCINNIS AVE |
| City | MOSS POINT |
| State | MS |
| Zip Code | 39563-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599245 | Edwin U. Essien | Podiatrist | 4316 Mcinnis Ave, Moss Point, MS 39563-2812 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596713 | Emmanuel Transit, LLC | Non-emergency Medical Transport (VAN) | 4337 Terrace Drive, Moss Point, MS 39563 | 2019-06-08 |
| 1134628985 | Kendra S Gardner | Nurse Practitioner | 3702 Jefferson St, Pascagoula, MS 39563 | 2018-02-07 |
| 1386186591 | Alice Smith | Counselor | 5007 Jefferson Street, Moss Point, MS 39563 | 2016-11-07 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 1417988916 | Coastal Family Health Center | Clinic/Center | 6602 Orange Grove Road, Moss Point, MS 39563 | 2006-07-05 |
| 1285107466 | Miller Pharmacy | Pharmacy | 7818 Highway 613, Moss Point, MS 39563 | 2019-01-09 |
| 1629203153 | Clifford James Cook | Dentist | 4100 Mcinnis Ave, Moss Point, MS 39563-0000 | 2009-05-28 |
| 1518172568 | Moss Point Family Clinic | Clinic/Center | 5430 Griffin St, Moss Point, MS 39563-2003 | 2007-05-13 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1871073403 | Elizabeth Adair Beatty | Pharmacist | 4231 Dantzler St, Moss Point, MS 39563-2217 | 2018-08-14 |
| Find all providers in zip 39563 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599245 | Edwin U. Essien | Podiatrist | 4316 Mcinnis Ave, Moss Point, MS 39563-2812 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218289 | Ortho Express Holding Company, LLC | Podiatrist | 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 | 2020-02-24 |
| 1124479100 | Foot and Surgery Clinic, Inc | Podiatrist | 7402 S Siwell Rd, Suite 110, Byram, MS 39272-9386 | 2016-06-30 |
| 1871953877 | Foot and Surgery Clinci, Inc | Podiatrist | 580 S Pear Orchard Rd Apt 312, Ridgeland, MS 39157-4210 | 2016-03-03 |
| 1508161597 | Jla Senior Footcare Ms LLC | Podiatrist | 300 Ark Ln, Petal, MS 39465-3606 | 2011-01-21 |
| 1497905079 | Vershern Edwards | Podiatrist | 297 Hwy 51 Suite C, Ridgeland, MS 39157 | 2008-09-19 |
| 1821208372 | Natchez Podiatry & Foot Surgery Pa | Podiatrist | 228c John R Junkin Dr, Natchez, MS 39120-3822 | 2007-05-23 |
| 1205049657 | Michael L Boykins | Podiatrist | 6800 Old Canton Rd Ste 111, Ridgeland, MS 39157-1254 | 2007-05-08 |
| 1407922867 | Scott Joseph Hanegan | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1336220177 | Robert Kelvin Woodruff | Podiatrist | 3855 Azalea Drive, Jackson, MS 39206-5105 | 2006-10-18 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | MOSS POINT |
| Zip Code | 39563 |
Please comment or provide details below to improve the information on MOSS POINT FOOT CLINIC, LLC.
| 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.