Organization Active NPI

Foot Doctor, PLLC

  • Foot Surgery Podiatrist
  • Oxford, MS
National Provider Identifier
1205345485
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80222 Issued in MS
Legal business name
FOOT DOCTOR, PLLC
Practice address
1194 S 18TH Street Ext
Oxford, MS 38655-5378
Phone
(662) 281-3668
Fax
(662) 281-0002
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Marion Shaun Lund, DPM
Title
Owner / Physician
Phone
(662) 234-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 80222 MS Primary

Addresses

Primary practice location

1194 S 18TH Street Ext
Oxford, MS 38655-5378

Mailing address

1735 University Ave
Oxford, MS 38655-4109
Phone (662) 234-3668

National Provider Directory

National Provider Directory

Locations

1735 University Ave
#A
Oxford, MS 38655

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1205345485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554109",
            "telephone_number": "662-234-3668",
            "fax_number": "662-281-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 S 18TH STREET EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555378",
            "telephone_number": "662-281-3668",
            "fax_number": "662-281-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DOCTOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "662-234-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.