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EAST ARKANSAS FOOT SPECIALISTS NPI 1063757490


NPI Information

NPI: 1063757490
Provider Name: EAST ARKANSAS FOOT SPECIALISTS
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
401 GRAHAM ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-6500
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EAST ARKANSAS FOOT SPECIALISTS is a podiatrist in West Memphis, AR. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. EAST ARKANSAS FOOT SPECIALISTS NPI is 1063757490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 GRAHAM ST
WEST MEMPHIS, AR
ZIP 72301-117
Phone: (870) 735-6500
Fax: (870) 735-4442

The provider's authorized official is Stephen H. Zimmerman .
The authorized official title is Secy/teasurer and has the following contact phone number (870) 735-6500.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 1/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist120ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16792320001MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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