Stephanie Fay Phelan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STEPHANIE FAY PHELAN

Doing business as

LA-MS Diabetic Shoes

Practice address

104 McAuley Dr
Vicksburg, MS 39183-2825

Phone

(601) 883-3342

Fax

(601) 856-5955

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie F Phelan, DPMNPI 1962538082

Title

Owner

Phone

(601) 398-8425

Specialties & licenses 1

Addresses

Other names 1

• LA-MS Diabetic Shoes Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Fay Phelan, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Ocean Springs, MS
  • NPI 1962538082
  NPD Authorized official

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1508280066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SOUTHERN RIDGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109484",
            "telephone_number": "601-506-5689",
            "fax_number": "601-856-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MCAULEY DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832825",
            "telephone_number": "601-883-3342",
            "fax_number": "601-856-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE FAY PHELAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-398-8425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA-MS Diabetic Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aneshia Stamps
• James Keith Stanford II, MD
• Markus B Stanley, DO
• Louis Steenkamp
• Thomas J Stelma III
• Lashell Steward
• Sarah Stewart, PCHMT
• Richard M Stone Jr., CRNA
• Delta Katherine Stout, DMD
• Candace Strong, M.A., P-LPC

• Durable Medical Equipment & Medical Supplies in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.