DR. THOMAS GERARD WERNER D.P.M. NPI 1639105570

NPI Information

NPI: 1639105570
Provider Name: DR. THOMAS GERARD WERNER, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2503 W MAIN PL
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-1311
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DR. Thomas Gerard Werner, D.P.M. is a podiatrist in Russellville, 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. DR. Thomas Gerard Werner, D.P.M. NPI is 1639105570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2503 W MAIN PL
RUSSELLVILLE, AR
ZIP 72801-645
Phone: (479) 968-1311
Fax: (479) 968-2704

The NPI 1639105570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/23/2006 and was last updated on 11/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		81	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	56496	MEDICARE PIN	ARKANSAS
2	143528748	MEDICAID	ARKANSAS
3	T20374	MEDICARE UPIN	ARKANSAS

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

NPI Synchronization or Removal

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