Provider Demographics
NPI:1528411717
Name:APPLING PODIATRY, PLLC
Entity Type:Organization
Organization Name:APPLING PODIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:APPLING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:901-826-5700
Mailing Address - Street 1:5779 GETWELL RD
Mailing Address - Street 2:BLDG. A, STE. 4 & 5
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-6347
Mailing Address - Country:US
Mailing Address - Phone:901-826-5700
Mailing Address - Fax:
Practice Address - Street 1:5779 GETWELL RD
Practice Address - Street 2:BLDG. A, STE. 4 & 5
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-6347
Practice Address - Country:US
Practice Address - Phone:901-826-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS80208213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I488386Medicare PIN