Organization Active NPI

John W. Benus Foot Clinic

  • Clinical Medical Laboratory
  • Pascagoula, MS
National Provider Identifier
1215115142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JOHN W. BENUS FOOT CLINIC
Practice address
4311 Chicot St
Pascagoula, MS 39581-4701
Phone
(228) 762-9531
Fax
(228) 762-9588
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Cynthia Kay Lonneman
Title
Office Manager
Phone
(228) 762-9531

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 80030 MS
Clinical Medical Laboratory 291U00000X MS Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4311 Chicot St
Pascagoula, MS 39581-4701

Mailing address

4311 Chicot St
Pascagoula, MS 39581-4701
Phone (228) 762-9531

National Provider Directory

National Provider Directory

Locations

4311 Chicot St
Pascagoula, MS 39581
Phone (228) 761-9531

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215115142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 CHICOT ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814701",
            "telephone_number": "228-762-9531",
            "fax_number": "228-762-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 CHICOT ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814701",
            "telephone_number": "228-762-9531",
            "fax_number": "228-762-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. BENUS FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LONNEMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-762-9531",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80030",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.