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ARKANSAS FOOT & ANKLE CLINIC PA NPI 1346534047


NPI Information

NPI: 1346534047
Provider Name: ARKANSAS FOOT & ANKLE CLINIC, PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1801 W 40TH AVE
SUITE 4E
PINE BLUFF, AR
ZIP 71603
Phone: (870) 535-4850
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ARKANSAS FOOT & ANKLE CLINIC, PA is a foot and ankle surgery podiatrist in Pine Bluff, AR. ARKANSAS FOOT & ANKLE CLINIC, PA NPI is 1346534047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 W 40TH AVE
SUITE 4E
PINE BLUFF, AR
ZIP 71603-940
Phone: (870) 535-4850
Fax: (870) 535-3558

The provider's authorized official is John Paul Thrash .
The authorized official title is Podiatrist and has the following contact phone number (870) 535-4850.

The enumeration date for this NPI number is 5/31/2011 and was last updated on 6/10/2011.


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 Surgery162ARKANSASYes

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
15T328OTHERARKANSASBLUE CROSS AND BLUE SHIELD
217389000000OTHERARKANSASQUAL CHOICE
32720022OTHERARKANSASUNITED HEALTHCARE
4480021446OTHERARKANSASPALMETTO
54249008OTHERARKANSASAETNA
6130021717MEDICAIDARKANSAS
7U21697MEDICARE UPINARKANSAS

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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