Mid-South Foot & Ankle Clinic P C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

177 Issued in AR

Legal business name

MID-SOUTH FOOT & ANKLE CLINIC P C

Practice address

302 S Rhodes St
West Memphis, AR 72301-4215

Phone

(870) 732-3131

Fax

(870) 732-1301

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bhekumuzi M Khumalo, D.P.M.

Title

Ceo

Phone

(870) 732-3131

Specialties & licenses 1

Addresses

Other names 1

• Mid-South Foot Care Center Doing business as

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1154571495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723361118",
            "telephone_number": "870-732-3131",
            "fax_number": "870-732-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-732-3131",
            "fax_number": "870-732-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH FOOT & ANKLE CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "KHUMALO",
        "authorized_official_first_name": "BHEKUMUZI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-732-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-South Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mending Minds Counseling and Consultation, LLC
• Megan Meredith
• Jeanette Merritt
• Constance Mickens, PLMSW
• Mid South Health Care, PLLC
• Midsouth Essential Shared Group Living
• Antoinette Miller
• Daniel Seth Miller, LPTA
• Frederick Miller, MHPP
• James Lee Miller, MD

• Foot & Ankle Surgery Podiatrist in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Foot & Ankle Surgery Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.