NPIMap

Organization Active NPI

Hancock Medical Health Services, Inc.

Doing business as Hancock Medical Podiatry - Benzing

  • Podiatrist
  • Bay St Louis, MS
National Provider Identifier
1538478870
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
11217 Issued in MS
Legal business name
HANCOCK MEDICAL HEALTH SERVICES, INC.
Doing business as
Hancock Medical Podiatry - Benzing
Practice address
100 Hancock Square Dr
Bay St Louis, MS 39520-1632
Phone
(228) 467-2878
Fax
(228) 467-8268
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mr. Guy Ken Smith, MBA
Title
Director Operations
Phone
(985) 898-7091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 11217 MS Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

100 Hancock Square Dr
Bay St Louis, MS 39520-1632

Mailing address

149 Drinkwater Blvd.
Bay St Louis, MS 39520
Phone (228) 467-8700

Other names 1

  • Hancock Medical Podiatry - Benzing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1538478870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER BLVD.",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-8700",
            "fax_number": "228-467-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HANCOCK SQUARE DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201632",
            "telephone_number": "228-467-2878",
            "fax_number": "228-467-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "985-898-7091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "11217",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Podiatry - Benzing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay St Louis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.