NATCHEZ PODIATRY & FOOT SURGERY PA (NPI# 1821208372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821208372 |
Entity Type | Organization |
Organization Name | NATCHEZ PODIATRY & FOOT SURGERY PA |
Practice Address |
228c John R Junkin Dr Natchez MS 39120-3822 |
Practice Telephone | 6014469850 |
Practice Fax Number | 6014469833 |
Mailing Telephone | 6014469850 |
Mailing Fax Number | 6014469833 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-04-09 |
Authorized Official Name | DR. RICHARD G MYERS (OFFICER) |
Authorized Official Telephone | 6014469850 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00115536 | 05 | |
LA | 1903906 | 05 | |
MS | BCBS MS PAYEE | 208549785C | 01 |
Street Address |
228C JOHN R JUNKIN DR |
City | NATCHEZ |
State | MS |
Zip Code | 39120-3822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
Find all providers in zip 39120 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
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 |
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 |
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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.