JOANN ORPHANOS (NPI# 1720171002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720171002 |
| Entity Type | Individual |
| Full Name | JOANN ORPHANOS |
| Credential | DPM |
| Practice Address |
15095 Dedeaux Road Gulfport MS 39503-3284 |
| Practice Telephone | 2282431238 |
| Practice Fax Number | 2282060503 |
| Mailing Telephone | 2282431238 |
| Mailing Fax Number | 2282060503 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
80206 | MS | Podiatric Medicine & Surgery Service Providers |
| Street Address |
15095 DEDEAUX ROAD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407091168 | Summit Podiatry Center Pllc | Podiatrist | 15095 Dedeaux Road, Gulfport, MS 39503-3284 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982939773 | Frank Eldridge Evans | Podiatrist | 2512 25th Ave, Hwy 49 Suite 3, Gulfport, MS 39501-4814 | 2009-10-12 |
| 1265678551 | Michaelswernerdpmpa | Podiatrist | 5704 Gulfport Blvd S, Gulfport, FL 33707-4835 | 2008-12-17 |
| 1407091168 | Summit Podiatry Center Pllc | Podiatrist | 15095 Dedeaux Road, Gulfport, MS 39503-3284 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913842 | Premier Podiatry LLC | Podiatrist | 5434 River Thames Rd, Jackson, MS 39211-4133 | 2020-05-12 |
| 1396085015 | Marion Shaun Lund | Podiatrist | 1194 S 18th Street Ext, Oxford, MS 38655-5378 | 2013-02-15 |
| 1942525738 | Jeffery John Vanyperen Jr. | Podiatrist | 1107 Earl Frye Blvd Ste 1, Amory, MS 38821-5519 | 2010-04-05 |
| 1942463567 | Stanitia W. Davis | Podiatrist | 953 North St, Suite A, Jackson, MS 39202-2615 | 2008-07-03 |
| 1275732596 | Bernard J Meadows Jr. | Podiatrist | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2007-07-17 |
| 1194805457 | James Terence Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2006-10-17 |
| 1912273814 | Davis Podiatry, LLC | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2012-03-26 |
| 1114201423 | Robert Crockett Enterprise LLC | Podiatrist | 2310 4th St, Suite A, Meridian, MS 39301-5819 | 2011-10-05 |
| 1699070326 | Magnolia Foot Clinic LLC | Podiatrist | 2310 4th St, Suite A, Meridian, MS 39301-5819 | 2011-01-11 |
| 1578884466 | Ashley Dawn Blackwell | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2010-06-15 |
| 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.