Arkansas Foot Clinic, Pa in Little Rock - Podiatrist
Arkansas Foot Clinic, Pa - NPI 1306816137
Arkansas Foot Clinic, Pa is a Podiatrist in Little Rock, Arkansas. Arkansas Foot Clinic, Pa practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Arkansas Foot Clinic, Pa is 1306816137. The last update date is 2019-01-04.
Arkansas Foot Clinic, Pa's current location address is Po Box 26508, Little Rock, Arkansas. You can contact this provider via phone number 5012241501 and fax number 5013767065. The mailing address for Arkansas Foot Clinic, Pa is Po Box 26508, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arkansas Foot Clinic, Pa |
|---|---|
| Address | Po Box 26508, Little Rock, Arkansas |
| Phone Number | 5012241501 |
| Fax Number | 5013767065 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gold G Allan |
| Credentials | DPM |
| Telephone Number | 5012241501 |
NPI Number Detail
| NPI Number | 1306816137 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2019-01-04 |
Provider Mailing Address Detail
| Address | Po Box 26508 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722216501 |
| Phone Number | 5012241501 |
| Fax Number | 5013767065 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57258 | AR | BLUE ADVANTAGE | |
| 57258 | AR | AR BLUE CROSS | |
| CD4794 | RR MEDICARE | ||
| 57258 | AR | HEALTH ADVANTAGE | |
| 57258 | AR | FIRST SOURCE PPO | |
| 57258 | AR | BCBS FEP | |
| 119019748 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Arkansas Foot Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Arkansas Foot Clinic, Pa has been issued the NPI (National Provider Identifier) 1306816137. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Arkansas Foot Clinic, Pa is physically located?
The Arkansas Foot Clinic, Pa is situated at the following address: Po Box 26508, Little Rock, AR 722216501.
What is Arkansas Foot Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Arkansas Foot Clinic, Pa is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Arkansas Foot Clinic, Pa receive the assignment of its 1306816137 from the Centers for Medicare & Medicaid Services?
The Arkansas Foot Clinic, Pa was issued its 1306816137 by the Centers for Medicare & Medicaid Services on 2006-01-24.
As of what date were the Arkansas Foot Clinic, Pa's details last updated?
The information pertaining to the Arkansas Foot Clinic, Pa, including its address, specialty, and other details, was most recently updated on 2019-01-04.