Summit Podiatry Center PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SUMMIT PODIATRY CENTER PLLC

Practice address

15095 Dedeaux Road
Gulfport, MS 39503-3284

Phone

(228) 832-6008

Fax

(228) 832-6009

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Joann Orphanos, DPM

Title

President

Phone

(228) 832-6008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1407091168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 DEDEAUX ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033284",
            "telephone_number": "228-832-6008",
            "fax_number": "228-832-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 DEDEAUX ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033284",
            "telephone_number": "228-832-6008",
            "fax_number": "228-832-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PODIATRY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "ORPHANOS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-832-6008",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tereasa Stuckey
• Bruce Wayne Sullivan, LPC
• Chantal Sullivan, PMHNP-BC
• James Sullivan, CRNA
• Summerfield Senior Living of Gulfport LLC
• Avery Sumrall
• Billi J Sumrall, MS CCC/SLP
• Savannah Sumrall
• Naga Anjani Bhaskar Srini Sunkara, MD
• Sunshine Healing

• Foot & Ankle Surgery Podiatrist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Foot & Ankle Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.