Stephanie Fay Phelan, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

80145 Issued in MS

Practice address

2429 W Commerce St Ste a
Ocean Springs, MS 39564-3124

Phone

(228) 875-1141

Fax

(228) 875-6885

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• La Miss Diabetic Shoes

  • Durable Medical Equipment & Medical Supplies
  • Vicksburg, MS
  • NPI 1023478435
  NPD Authorized official
• Stephanie Fay Phelan

  dba LA-MS Diabetic Shoes

  • Durable Medical Equipment & Medical Supplies
  • Vicksburg, MS
  • NPI 1508280066
  NPD Authorized official
• La-Miss Podiatry & Foot Clinic

  • Primary Podiatric Medicine Podiatrist
  • Ocean Springs, MS
  • NPI 1245424688
  Authorized official Same address or phone

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1962538082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 W COMMERCE ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643124",
            "telephone_number": "228-875-1141",
            "fax_number": "228-875-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 W COMMERCE ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643124",
            "telephone_number": "228-875-1141",
            "fax_number": "228-875-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "STEPHANIE",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MS",
            "license": "80145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119566",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Marie Perez, CSW
• Erin Petersen, MD
• Meghan Alyssa Pettis
• Mai Pham
• James Terence Phelan, DPM
• Aubrey Phillips
• Phoenix Behavioral Health Center, PLLC
• Physical Therapy Center of Ocean Springs, LLC (PT Solutions)
• Picking Up Loose Ends LLC
• Faith Piddock

• Primary Podiatric Medicine Podiatrist in Ocean Springs, MS
• Providers in Ocean Springs, 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 Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.