Organization Active NPI

Natchez Podiatry & Foot Surgery PA

  • Foot Surgery Podiatrist
  • Natchez, MS
National Provider Identifier
1821208372
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
NATCHEZ PODIATRY & FOOT SURGERY PA
Practice address
228C John R Junkin Dr
Natchez, MS 39120-3822
Phone
(601) 446-9850
Fax
(601) 446-9833
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Richard G Myers, DPM
Title
Officer
Phone
(601) 446-9850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

228C John R Junkin Dr
Natchez, MS 39120-3822

Mailing address

228C John R Junkin Dr
Natchez, MS 39120-3822
Phone (601) 446-9850

Other identifiers 3

IdentifierTypeStateIssuer
00115536MedicaidMS
208549785COtherMSBCBS MS PAYEE
1903906MedicaidLA

National Provider Directory

National Provider Directory

Locations

228C John R Junkin Dr
Natchez, MS 39120

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1821208372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228C JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203822",
            "telephone_number": "601-446-9850",
            "fax_number": "601-446-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228C JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203822",
            "telephone_number": "601-446-9850",
            "fax_number": "601-446-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ PODIATRY & FOOT SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "601-446-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115536",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MS PAYEE",
            "identifier": "208549785C",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903906",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.