WOUND AND PODIATRY CENTER (NPI# 1790051738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790051738 |
| Entity Type | Organization |
| Organization Name | WOUND AND PODIATRY CENTER |
| Practice Address |
1815 Hospital Dr Suite 434 Jackson MS 39204-3425 |
| Practice Telephone | 6014055583 |
| Practice Fax Number | 6015020111 |
| Mailing Telephone | 6014055583 |
| Mailing Fax Number | 6015020111 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | DR. PERCY ANDERSON JR. (CEO/OWNER) |
| Authorized Official Telephone | 6015021100 |
| Authorized Official Credential | DPM, CWS, CMET |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
80107 | MS | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
80107 | MS | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1815 HOSPITAL DR SUITE 434 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528017282 | Leslie Hart Bear | Ophthalmology | 1815 Hospital Dr, # 462, Jackson, MS 39204 | 2006-05-09 |
| 1790146512 | Global Adult Daycare, LLC | Clinic/Center | 1815 Hospital Dr, Suite 140 A, Jackson, MS 39204-3425 | 2016-03-08 |
| 1356615512 | The Wound & Podiatry Center | Podiatrist | 1815 Hospital Dr, Suite 434, Jackson, MS 39204-3425 | 2012-03-05 |
| 1174810832 | Hunter Scott Lett | Family Medicine | 1815 Hospital Dr, 3rd Floor, Jackson, MS 39204-3425 | 2011-07-01 |
| 1083843163 | Jennifer Hermetz York | Optometrist | 1815 Hospital Dr, Ste 410, Jackson, MS 39204-3425 | 2009-07-09 |
| 1770745630 | Andrea Morgan | Family Medicine | 1815 Hospital Dr, Jackson, MS 39204-3425 | 2008-07-01 |
| 1679773113 | Rajvinder Singh Hanspal | Family Medicine | 1815 Hospital Dr, Jackson, MS 39204-3425 | 2007-07-23 |
| 1073713707 | Jeffrey Domingo Jarin | Family Medicine | 1815 Hospital Dr, Jackson, MS 39204-3425 | 2007-07-20 |
| 1326244989 | University Family Medicine Associates, Pllc | Clinic/Center | 1815 Hospital Dr, Jackson, MS 39204-3425 | 2007-06-21 |
| 1104947688 | Vanathi Siddaiah | Family Medicine | 1815 Hospital Dr, Jackson, MS 39204-3425 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477691095 | Julian Sansone, Dpm, PC | Podiatrist | 4 Peacock Ln, Jackson, NJ 08527 | 2007-02-03 |
| 1336220177 | Robert Kelvin Woodruff | Podiatrist | 3855 Azalea Drive, Jackson, MS 39206-5105 | 2006-10-18 |
| 1356615512 | The Wound & Podiatry Center | Podiatrist | 1815 Hospital Dr, Suite 434, Jackson, MS 39204-3425 | 2012-03-05 |
| 1083882385 | Dr Robert Woodruff Dpm Pa | Podiatrist | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2008-02-20 |
| 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 |
| 1285827071 | Moss Point Foot Clinic, LLC | Podiatrist | 4316 Mcinnis Ave, Moss Point, MS 39563-2812 | 2007-08-24 |
| 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 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
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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.