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CROTTY FOOT CLINIC P A NPI 1295743557


NPI Information

NPI: 1295743557
Provider Name: CROTTY FOOT CLINIC P A
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6600 ROGERS AVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 452-6555
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CROTTY FOOT CLINIC P A is a foot and ankle surgery podiatrist in Fort Smith, AR. CROTTY FOOT CLINIC P A NPI is 1295743557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6600 ROGERS AVE
FORT SMITH, AR
ZIP 72903-064
Phone: (479) 452-6555
Fax: (479) 452-3894

The provider's authorized official is Patricia M Sears .
The authorized official title is Business Manager and has the following contact phone number (479) 452-6555.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 1/15/2008.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
157925OTHERARKANSASMEDICARE GROUP
257925MEDICARE PINARKANSAS
30631590001MEDICARE 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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