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PODIATRY ASSOCIATES OF MERIDIAN PLLC NPI 1679649974


NPI Information

NPI: 1679649974
Provider Name: PODIATRY ASSOCIATES OF MERIDIAN, PLLC

Former Legal Business Name: FOOT CLINIC OF MERIDIAN

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1300 25TH AVE
MERIDIAN, MS
ZIP 39301
Phone: (601) 483-6134
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PODIATRY ASSOCIATES OF MERIDIAN, PLLC is a foot surgery podiatrist in Meridian, MS. PODIATRY ASSOCIATES OF MERIDIAN, PLLC NPI is 1679649974. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Foot Clinic Of Meridian.

The provider's business location address is:

1300 25TH AVE
MERIDIAN, MS
ZIP 39301-916
Phone: (601) 483-6134
Fax: (601) 483-7247

The provider's authorized official is Scott Joseph Hanegan .
The authorized official title is Owner and has the following contact phone number (601) 483-6134.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 2/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery80165MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DD3897OTHERMISSISSIPPIMEDICARE RAILROAD
2RR9179OTHERMISSISSIPPIMEDICARE RAILROAD
35480320001MEDICARE NSCMISSISSIPPI
4C03253MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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