Crestwood Foot Clinic, Llc in North Little Rock - Podiatrist
Crestwood Foot Clinic, Llc - NPI 1962677906
Crestwood Foot Clinic, Llc is a Podiatrist in North Little Rock, Arkansas. Crestwood Foot Clinic, Llc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Crestwood Foot Clinic, Llc is 1962677906. The last update date is 2020-07-14.
Crestwood Foot Clinic, Llc's current location address is 2501 Crestwood Rd, North Little Rock, Arkansas. You can contact this provider via phone number 5017714785 and fax number 5017714787. The mailing address for Crestwood Foot Clinic, Llc is 2501 Crestwood Rd, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestwood Foot Clinic, Llc |
|---|---|
| Address | 2501 Crestwood Rd, North Little Rock, Arkansas |
| Phone Number | 5017714785 |
| Fax Number | 5017714787 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson A. Martha |
| Credentials | DPM |
| Telephone Number | 5017714785 |
NPI Number Detail
| NPI Number | 1962677906 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2020-07-14 |
Provider Mailing Address Detail
| Address | 2501 Crestwood Rd |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721166864 |
| Phone Number | 5017714785 |
| Fax Number | 5017714787 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 87 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the unique identification code assigned to Crestwood Foot Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Crestwood Foot Clinic, Llc has been issued the NPI (National Provider Identifier) 1962677906. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Crestwood Foot Clinic, Llc's facilities are geographically located?
The facilities of Crestwood Foot Clinic, Llc are physically situated at the following location: 2501 Crestwood Rd, North Little Rock, AR, 721166864.
What is Crestwood Foot Clinic, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crestwood Foot Clinic, Llc is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Crestwood Foot Clinic, Llc receive the assignment of its 1962677906 from the Centers for Medicare & Medicaid Services?
The Crestwood Foot Clinic, Llc was issued its 1962677906 by the Centers for Medicare & Medicaid Services on 2008-04-29.
As of what date was the information pertaining to Crestwood Foot Clinic, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crestwood Foot Clinic, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-14.