Podiatry Associates of Meridian, PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

80165 Issued in MS

Legal business name

PODIATRY ASSOCIATES OF MERIDIAN, PLLC

Practice address

1300 25TH Ave
Meridian, MS 39301-3916

Phone

(601) 483-6134

Fax

(601) 483-7247

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Scott Joseph Hanegan, DPM

Title

Owner

Phone

(601) 483-6134

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Foot Clinic of Meridian Former legal business name

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1679649974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 25TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013916",
            "telephone_number": "601-483-6134",
            "fax_number": "601-483-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 25TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013916",
            "telephone_number": "601-483-6134",
            "fax_number": "601-483-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF MERIDIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "HANEGAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-483-6134",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD3897",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "RR9179",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Clinic of Meridian",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Courtney Pittman, FNP-BC
• PKC Plus
• Plastic Crna, LLC
• Plastic Surgery Center of Meridian, LLC
• Thomas G. Plavac, M.D.
• Point Rexall Drug
• David A. Pomierski, M.D.
• Tabitha K. Pomierski, CRNA
• Cole W Pompelia, CRNA
• Margaret Y. Poole, CRNA

• Foot Surgery Podiatrist in Meridian, MS
• Providers in Meridian, MS by specialty
• Foot Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.