Mississippi Foot And Surgical Center, Llc, NPI 1235209115
Podiatrist in Jackson, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1235209115 |
| NPI Entity Type | Organization |
| Provider Name |
Mississippi Foot And Surgical Center, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1915 Dunbarton Drive, Jackson, MS, US |
| Provider Mailing Address | 1915 Dunbarton Drive, Jackson, MS, US, 39216 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DPM Bryan Tipton Sullivan |
| Official Position | OWNER |
| Phone | 601-982-3338 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Podiatrist |
| Classification | |
| Group | |
| License No. | 80089 |
| License State | MS |
| Description | A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00012910 | MS | MEDICAID | 05 |
| 480007636 | RAILROAD MEDICARE | 01 |
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