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CHARLES S GINN DPM PA NPI 1417385246


NPI Information

NPI: 1417385246
Provider Name: CHARLES S GINN DPM PA

Doing Business As: GINN FOOT AND ANKLE

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
4404 W CANOPY MEADOWS DR
ROGERS, AR
ZIP 72758
Phone: (479) 531-7416
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CHARLES S GINN DPM PA is a podiatric clinic center in Rogers, AR. CHARLES S GINN DPM PA NPI is 1417385246. The provider is registered as an organization entity type.
The provider Is Doing Business As Ginn Foot And Ankle.

The provider's business location address is:

4404 W CANOPY MEADOWS DR
ROGERS, AR
ZIP 72758-302
Phone: (479) 531-7416

The provider's authorized official is Charles Stephen Ginn .
The authorized official title is Podiatrist and has the following contact phone number (479) 531-7416.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.


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
1261QP1100XClinic/CenterPodiatricYes

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
1185785717MEDICAIDARKANSAS

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: 11/14/2023

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