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POPLAR PODIATRY P.C NPI 1376514794


NPI Information

NPI: 1376514794
Provider Name: POPLAR PODIATRY P.C
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
228 W TYLER AVE
SUITE 104
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-6500
Get Directions

POPLAR PODIATRY P.C 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. POPLAR PODIATRY P.C NPI is 1376514794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

228 W TYLER AVE
SUITE 104
WEST MEMPHIS, AR
ZIP 72301-089
Phone: (870) 735-6500

The provider's authorized official is Michele Mclaughlin .
The authorized official title is Billing Manager and has the following contact phone number (901) 531-6924.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 6/5/2008.


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
1213E00000XPodiatristYes

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
1CJ8182OTHERARKANSASMEDICARE ID TYPE UNSPECIFIED
25B569MEDICARE PINARKANSAS
3118594748MEDICAIDARKANSAS
44879940001MEDICARE 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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