Provider Demographics
NPI:1033432521
Name:APPLING, ROBERT W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:APPLING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5779 GETWELL RD
Mailing Address - Street 2:BLDG A SUITE 5
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-6347
Mailing Address - Country:US
Mailing Address - Phone:662-470-5029
Mailing Address - Fax:662-655-5174
Practice Address - Street 1:5779 GETWELL RD
Practice Address - Street 2:BLDG A SUITE 5
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-6347
Practice Address - Country:US
Practice Address - Phone:662-470-5029
Practice Address - Fax:662-655-5174
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM721213E00000X
MS80208213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I488386Medicare PIN
TN103I488386Medicare PIN