NPIMap

Organization Active NPI

Foot Clinic of Hattiesburg, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Hattiesburg, MS
National Provider Identifier
1144316092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
80087 Issued in MS
Legal business name
FOOT CLINIC OF HATTIESBURG, P.A.
Practice address
710 S 28TH Ave
Ste B
Hattiesburg, MS 39402-2585
Phone
(601) 264-5793
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Ponton, DPMNPI 1316997042
Title
Owner
Phone
(601) 264-5793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 80087 MS Primary

Addresses

Primary practice location

710 S 28TH Ave
Ste B
Hattiesburg, MS 39402-2585

Mailing address

710 S 28TH Ave
Ste B
Hattiesburg, MS 39402-2585
Phone (601) 264-5793

National Provider Directory

National Provider Directory

Locations

710 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 264-5793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144316092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 28TH AVE",
            "address_2": "STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022585",
            "telephone_number": "601-264-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 28TH AVE",
            "address_2": "STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022585",
            "telephone_number": "601-264-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF HATTIESBURG, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-264-5793",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MS",
            "license": "80087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.