Individual provider Active NPI

Marion Shaun Lund, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oxford, MS
National Provider Identifier
1396085015
Registry record updated Sep 27, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
80222 Issued in MS
Practice address
1735 University Ave
Oxford, MS 38655-4109
Phone
(662) 234-3668
Fax
(662) 281-0002
NPI assigned
Feb 15, 2013
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 80222 MS Primary

Addresses

Primary practice location

1735 University Ave
Oxford, MS 38655-4109

Mailing address

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

Other practice location 1

140 North St
Cleveland, MS 38732-2744
Phone (662) 843-3668

Other identifiers 1

IdentifierTypeStateIssuer
04585320MedicaidMS

Other names 1

  • Dr. M Shaun Lund Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Clinical Pharmacy, LLC Current Accepting new patients

Locations

1194 S 18th Street Ext
Oxford, MS 38655
Phone (662) 234-3668

Interoperability endpoints

  • Direct secure messaging: marion.lund.2@16343.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1396085015",
    "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": "1735 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554109",
            "telephone_number": "662-234-3668",
            "fax_number": "662-281-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 North St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322744",
            "country_code": "US",
            "telephone_number": "662-843-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUND",
        "first_name": "MARION",
        "middle_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04585320",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "LUND",
            "middle_name": "SHAUN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.