SUMMIT PODIATRY CENTER PLLC
NPI 1407091168
Podiatrist - Foot & Ankle Surgery in Gulfport, MS

Active since December 10, 2008
15095 DEDEAUX ROAD, GULFPORT, MS 39503(228) 832-6008(228) 832-6009 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Podiatry Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT PODIATRY CENTER PLLC (NPI 1407091168) is a healthcare organization registered as a foot & ankle surgery in Gulfport, Mississippi and active in the NPI registry since December 2008. The organization lists Joann Orphanos, President, as its authorized official.

NPPES Registry Identity

NPI1407091168
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSUMMIT PODIATRY CENTER PLLC
Location Address15095 DEDEAUX ROADGulfport, MS 39503-3284
Mailing Address15095 Dedeaux RoadGulfport, MS 39503-3284 · (228) 832-6008 · Fax (228) 832-6009
Fax(228) 832-6009
Organization SubpartNo
Authorized OfficialJoann OrphanosPresident · (228) 832-6008
Enumeration DateDecember 10, 2008
Last NPPES UpdateJanuary 14, 2014
NPI 1407091168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
15095 DEDEAUX ROAD, Gulfport, MS 39503

Other Identifiers 1

Medicare NSC6673650001MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
15095 DEDEAUX ROAD
GULFPORT, MS 39503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Podiatry Center PLLC's NPI number?

The NPI number for Summit Podiatry Center PLLC is 1407091168. It was assigned to this organization in the NPPES registry on December 10, 2008.

Where is Summit Podiatry Center PLLC located?

Summit Podiatry Center PLLC is located at 15095 Dedeaux Road, Gulfport, MS 39503. The listed phone number is (228) 832-6008.

What is Summit Podiatry Center PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Summit Podiatry Center PLLC was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.