Individual provider Active NPI

Michael Frank De Marco, D.P.M.

  • Foot Surgery Podiatrist
  • Poplarville, MS
National Provider Identifier
1669575668
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80232 Issued in MS
Practice address
101 Lamar Smith Rd
Poplarville, MS 39470
Phone
(601) 795-9840
NPI assigned
Sep 6, 2006
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 36.002457 OH
Foot Surgery Podiatrist 213ES0131X 80232 MS Primary

Addresses

Primary practice location

101 Lamar Smith Rd
Poplarville, MS 39470

Mailing address

101 Lamar Smith Rd
Poplarville, MS 39470-4086
Phone (601) 795-9840

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.002457OHMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caplis Foot Center, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Foot Specialists of South Mississippi PLLC Past Accepting new patients

Locations

999 N Halstead Rd
Ocean Springs, MS 39564
Phone (228) 818-2801

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1669575668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAMAR SMITH RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394704086",
            "telephone_number": "601-795-9840",
            "fax_number": "601-795-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAMAR SMITH RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "601-795-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARCO",
        "first_name": "MICHAEL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36.002457",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.