LA MISS DIABETIC SHOES
NPI 1023478435
Durable Medical Equipment & Medical Supplies in Vicksburg, MS

NPI Status: Active since February 26, 2016

Contact Information

2200 HIGHWAY 61 N
SUITE 3400
VICKSBURG, MS
ZIP 39183
Phone: (601) 883-3342
Fax: (601) 856-5955

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About LA MISS DIABETIC SHOES

This page provides the complete NPI Profile along with additional information for La Miss Diabetic Shoes, a provider established in Vicksburg, Mississippi operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1023478435 assigned on February 2016. The practitioner's primary taxonomy code is 332B00000X with license number 80145 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Stephanie F Phelan Dpm (Owner/provider)

NPI
1023478435
Provider Name
LA MISS DIABETIC SHOES
Entity Type
Organization
Location Address
2200 HIGHWAY 61 N SUITE 3400 VICKSBURG, MS 39183
Location Phone
(601) 883-3342
Location Fax
(601) 856-5955
Mailing Address
139 SOUTHERN RIDGE DR MADISON, MS 39110
Mailing Phone
(601) 883-3342
Mailing Fax
(601) 856-5955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2016
Last Update Date
02-26-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
80145
License State
MS
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. STEPHANIE F PHELAN DPM

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(601) 883-3342

Reviews for LA MISS DIABETIC SHOES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023478435
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043871646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 8 + 7 + 1 + 6 + 4 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1023478435 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356593875HANGER PROSTHETICS & ORTHOTICS, INC.
Organization
Prosthetic/Orthotic Supplier2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3341
1932130127 TIMOTHY P KERUT MD
Individual
Allergy & Immunology2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3320
1326079518 ALFRED G WINDHAM MD
Individual
Otolaryngology2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 638-7271
1750312963 GLORIA J BUTLER MD
Individual
Family Medicine2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3340
1811928005 THOMAS K SLIGH MD
Individual
Internal Medicine2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3340
1801827019 JOHN DAVID FAGAN M.D.
Individual
Urology2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-5940
1154789717MRS. CARRIE EURE PA-C
Individual
Physician Assistant2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-5940
1457633034 KENYATTA NICOLE WILSON NP-C
Individual
Nurse Practitioner (Family)2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3340
1861622268VICKSBURG CLINIC LLC
Organization
Clinic/Center (Rural Health)2200 HIGHWAY 61 N
VICKSBURG, MS 39183
(601) 883-3300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023478435, enumerated in the NPI registry as an "organization" on February 26, 2016

The provider is located at 2200 Highway 61 N Suite 3400 Vicksburg, Ms 39183 and the phone number is (601) 883-3342

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on February 26, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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