Family Foot Care Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

80113 Issued in MS

Legal business name

FAMILY FOOT CARE CLINIC INC

Practice address

713 Terry St
Ripley, MS 38663-1353

Phone

(662) 837-6083

NPI assigned

Dec 7, 2007

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry E Calvert, DPM

Title

Sole Practitioner

Phone

(662) 837-6083

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1205019718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630693",
            "telephone_number": "662-837-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TERRY ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631353",
            "telephone_number": "662-837-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "662-837-6083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111506",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Edwards, MSW, LSW
• Charles McCarley Elliott, MD
• Reeca L Elliott, RPH
• Teressa Ellzey, BSW
• Family Care Clinic of Ripley
• Family Foot Care Clinic Inc
• Family Nurse Clinic, Inc
• Farrell Family Counseling Center, LLC
• Fast Pace Mississippi, PLLC
• Benita Foster

• Podiatrist in Ripley, MS
• Providers in Ripley, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.