SCOTT JOSEPH HANEGAN (NPI# 1407922867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407922867 |
| Entity Type | Individual |
| Full Name | SCOTT JOSEPH HANEGAN |
| Credential | DPM |
| Practice Address |
1300 25th Ave Meridian MS 39301-3916 |
| Mailing Address |
1600 22nd Ave Meridian MS 39301-3223 |
| Practice Telephone | 6014836134 |
| Practice Fax Number | 6014837247 |
| Mailing Telephone | 6014835322 |
| Mailing Fax Number | 6015812289 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
80165 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS OF ALABAMA | 730-15591 | 01 |
| MS | MEDICARE RAILROAD | P00238726 | 01 |
| Street Address |
1300 25TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679649974 | Podiatry Associates of Meridian, Pllc | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1366518631 | Bobby Lester Adams | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1558437830 | Leigh White | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679649974 | Podiatry Associates of Meridian, Pllc | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1366518631 | Bobby Lester Adams | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 1558437830 | Leigh White | Podiatrist | 1300 25th Ave, Meridian, MS 39301-3916 | 2006-11-28 |
| 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 |
| 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.