Individual provider Active NPI

Joseph J Menn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Myrtle Beach, SC
National Provider Identifier
1780755652
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
120 Issued in SC
Practice address
8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone
(843) 449-8079
Fax
(843) 497-6147
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 120 SC Primary

Addresses

Primary practice location

8141 Rourk St
Myrtle Beach, SC 29572-4128

Mailing address

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Other identifiers 1

IdentifierTypeStateIssuer
GP9984MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000523 SC Practitioner - Podiatry 4183767916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Podiatry Associates PAGroup PAC ID 3375686108, 6 clinicians

Practice addresses (Care Compare)

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.88 of 100Reported as individual
Quality
80.14
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of skin lesions1-10
Removal of nail tissue1360
Removal or shaving of skin growth446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Sep 1, 1995 Accepting new patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Sep 1, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8020 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-9100

956 International Dr
Myrtle Beach, SC 29579
Phone (843) 449-8079

8141 Rourk St
Myrtle Beach, SC 29572
Phone (803) 449-8079

1120 Glenns Bay Rd
Ste 103
Surfside Beach, SC 29575
Phone (843) 449-8079

Interoperability endpoints

  • Direct secure messaging: jmenn@coastalpodiatry.mdlogic.direct-ci.com
  • Direct secure messaging: joseph.menn.1@14811.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1780755652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8141 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-449-8079",
            "fax_number": "843-497-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-449-8079",
            "fax_number": "843-497-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENN",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.