Active NPI
John W. Benus Foot Clinic
- Clinical Medical Laboratory
- Pascagoula, MS
National Provider Identifier
1215115142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 DirectoryLocations
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.