The Foot Specialist of Sulphur Apc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD217R Issued in LA

Legal business name

THE FOOT SPECIALIST OF SULPHUR APC

Practice address

101 Advent St
Sulphur, LA 70663-4027

Phone

(337) 625-7604

Fax

(337) 625-7606

NPI assigned

Dec 9, 2005

Last updated

Aug 22, 2020By 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

Mr. Mickey L Peshoff, DPM

Title

President

Phone

(337) 625-7604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619952868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ADVENT ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634027",
            "telephone_number": "337-625-7604",
            "fax_number": "337-625-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADVENT ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634027",
            "telephone_number": "337-625-7604",
            "fax_number": "337-625-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT SPECIALIST OF SULPHUR APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESHOFF",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-625-7604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD217R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.