Madison Foot Clinic, PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

80153 Issued in MS

Legal business name

MADISON FOOT CLINIC, PLLC

Practice address

980 Highway 51 Ste B
Madison, MS 39110-8409

Phone

(601) 605-8770

Fax

(601) 605-8773

NPI assigned

Mar 29, 2007

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

Dr. Mohammad R Parsa, DPMNPI 1770688558

Title

Owner

Phone

(601) 605-8770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mohammad Reza Parsa, DPM

  • Podiatrist
  • Madison, MS
  • NPI 1770688558
  Authorized official Same address or phone

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740309590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 51 STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108409",
            "telephone_number": "601-605-8770",
            "fax_number": "601-605-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 51 STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108409",
            "telephone_number": "601-605-8770",
            "fax_number": "601-605-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FOOT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARSA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-605-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MS",
            "license": "80153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122886",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Dental Group, PLLC (Madison Dental Group)
• Madison Dental LLC
• Madison Dental Studio
• Madison Discount Drugs, Inc.
• Madison Eye Care Clinic
• Madison General Surgery, PLLC
• Madison Healthplex & Sports Performance Center LLC
• Madison Healthplex and Sports Performance Center LLC (Madison Healthplex Performance Training Center)
• Madison Imaging LLC (dba Madison Medical Imaging)
• Madison Medical Compounding Pharmacy

• Primary Podiatric Medicine Podiatrist in Madison, MS
• Providers in Madison, MS by specialty
• Primary Podiatric Medicine Podiatrist in Mississippi

• 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.