ALWIN MAX JUCHHEIM III (NPI# 1689666539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689666539 |
| Entity Type | Individual |
| Full Name | ALWIN MAX JUCHHEIM III |
| Credential | DPM |
| Practice Address |
1300 Sunset Dr Suite P Grenada MS 38901-4086 |
| Practice Telephone | 6622263333 |
| Practice Fax Number | 6622267722 |
| Mailing Telephone | 6622263333 |
| Mailing Fax Number | 6622267722 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 80068 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00011116 | 05 |
| Street Address |
1300 SUNSET DR SUITE P |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613210 | Mal S. Riddell | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2005-07-19 |
| 1235482340 | Grenada Cardiology LLC | Internal Medicine | 1300 Sunset Dr, Suite W, Grenada, MS 38901-4086 | 2012-10-26 |
| 1649550708 | Teresa Kaye Pickle | Nurse Practitioner | 1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 | 2011-08-22 |
| 1164731931 | Latia Monanette Butts | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2010-09-28 |
| 1962634170 | Mal S Riddell, D.o. Clinic | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2009-08-20 |
| 1245462282 | Ralph T Cain | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2009-08-10 |
| 1902045735 | Grenada Diagnostic Sleep Center, LLC | Clinic/Center | 1300 Sunset Dr, Suite E, Grenada, MS 38901-4086 | 2009-02-18 |
| 1225200280 | Charles Edward Hill II | Physical Therapist | 1300 Sunset Dr, Ste G, Grenada, MS 38901-4086 | 2008-03-31 |
| 1578735791 | Alwin Max Juchheim IIi, Dpm | Podiatrist | 1300 Sunset Dr, Suite P, Grenada, MS 38901-4086 | 2008-03-27 |
| 1457577074 | John A Marascalco, Md, Pa | Specialist | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| 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 |
|---|---|---|---|---|
| 1578735791 | Alwin Max Juchheim IIi, Dpm | Podiatrist | 1300 Sunset Dr, Suite P, Grenada, MS 38901-4086 | 2008-03-27 |
| 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 |
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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.