FOOT AND WOUND INSTITUTE OF THE SOUTH (NPI# 1447429089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447429089 |
Entity Type | Organization |
Organization Name | FOOT AND WOUND INSTITUTE OF THE SOUTH |
Practice Address |
157 Fe Sellers Highway Monticello MS 39654 |
Mailing Address |
157 Sellers Hwy Monticello MS 39654 |
Practice Telephone | 6013623158 |
Practice Fax Number | 3183364052 |
Mailing Telephone | 6013623158 |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-04-20 |
Authorized Official Name | GERARD GUERIN JR. (OWNER) |
Authorized Official Telephone | 9853456616 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
80070 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00015989 | 05 | |
LA | 1323462 | 05 |
Street Address |
157 FE SELLERS HIGHWAY |
City | MONTICELLO |
State | MS |
Zip Code | 39654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
1295818045 | Brenco | Podiatrist | 157 F E Sellers Hwy, Monticello, MS 39654 | 2006-10-23 |
Find all providers in zip 39654 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316585003 | Cohen Podiatry Clinic | Clinic/Center | 905 Hardy St, Hattiesburg, MS 39401-4163 | 2019-12-13 |
1073557799 | Prime Foot Care, Pllc | Clinic/Center | 9065 Sandidge Center Cove, Ste C, Olive Branch, MS 38654-3574 | 2006-06-15 |
1942848635 | Cohen Podiatry Clinic | Clinic/Center | 136 S 15th Ave, Laurel, MS 39440-4124 | 2019-12-13 |
1346888096 | Cohen Podiatry Clinics | Clinic/Center | 7530 Highway 57, Vancleave, MS 39565-6512 | 2019-12-12 |
1063865343 | Wjl Podiatry Clinic LLC | Clinic/Center | 953 North St, Jackson, MS 39202-2615 | 2016-07-21 |
1962689042 | Delta Foot Clinics, Inc | Clinic/Center | 1814 Mission 66, Vicksburg, MS 39180-3710 | 2008-01-30 |
1831376508 | Cohen Podiatry Clinics | Clinic/Center | 12056 Mobile Ave, Gulfport, MS 39503-3004 | 2008-01-24 |
City | MONTICELLO |
Zip Code | 39654 |
Please comment or provide details below to improve the information on FOOT AND WOUND INSTITUTE OF THE SOUTH.
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.