KRYSTAL DAWN UPSHAW (NPI# 1285046896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285046896 |
| Entity Type | Individual |
| Full Name | KRYSTAL DAWN UPSHAW |
| Credential | DPM |
| Practice Address |
1300 Creason Rd Corning AR 72422 |
| Mailing Address |
Po Box 83 Corning AR 72422-0083 |
| Practice Telephone | 8708573399 |
| Practice Fax Number | 8708573301 |
| Mailing Telephone | 8708573334 |
| Mailing Fax Number | 8708579934 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 272 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 224176717 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Medical Center Dr, Pocahontas, AR 724559436 | 8708926000 | |
| 141 Betty Dr, Pocahontas, AR 724553602 | 8708929949 | 8708920208 |
| 172 Highway 62 W, Salem, AR 725768059 | 8708952735 | 8708952709 |
| 1 Medical Dr, Paragould, AR 724504017 | 8702362000 | 8702365861 |
| 308 Highway 62 W, Ash Flat, AR 725139415 | 8709942202 | 8709942328 |
| 201 Colonial Dr, Walnut Ridge, AR 724761410 | 8708865507 | 8708865632 |
| Street Address |
1300 CREASON RD |
| City | CORNING |
| State | AR |
| Zip Code | 72422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952373532 | Cynthia A Silvestre | Internal Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2006-02-07 |
| 1275180630 | Stephanie M Young | Clinical Nurse Specialist | 1300 Creason Rd, Corning, AR 72422-1716 | 2019-08-21 |
| 1003203274 | Jennifer Sue Young | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422-1716 | 2015-04-24 |
| 1336585926 | Clinton Boone Smith | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2013-05-22 |
| 1316211469 | Lisa Lynn Vinal | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422 | 2012-03-06 |
| 1538431556 | Susie Elaine Flanery | Social Worker | 1300 Creason Rd, Corning, AR 72422 | 2012-02-07 |
| 1538393400 | Sandra A Green | Clinical Nurse Specialist | 1300 Creason Rd, Corning, AR 72422-1716 | 2009-05-07 |
| 1316193691 | Heather Beth Hart | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422-1716 | 2008-08-18 |
| 1184886137 | Kelly R. Fletcher | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2008-07-01 |
| 1598940322 | Donna Marie Rhea | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422-1716 | 2007-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639326341 | Michele Ann Crancer | Speech-Language Pathologist | 510 Wynn Park Drive, Corning, AR 72422 | 2008-08-25 |
| 1639104920 | Stacy R Arnell | Social Worker | 602 David Street, Corning, AR 72422 | 2006-07-12 |
| 1760803241 | Kristen Nicole Bruce | Counselor | 602 David St, Corning, AR 72422 | 2013-12-30 |
| 1023230661 | Corning Public Schools | Local Education Agency (LEA) | 500 Bobcat Lane, Corning, AR 72422-0479 | 2007-05-03 |
| 1003951278 | Karen R Crawley | Speech-Language Pathologist | 2503 Cherry St, Corning, AR 72422-1315 | 2007-02-21 |
| 1649821844 | Jill Ann Foster | Nurse's Aide | 301 Griggs Ln, Corning, AR 72422-1425 | 2019-09-28 |
| 1700211489 | Bradley Chiropractic Center, LLC | Chiropractor | 301 N Missouri Ave, Suite 17, Corning, AR 72422-1600 | 2013-09-12 |
| 1134291818 | Piggott Community Hospital | Durable Medical Equipment & Medical Supplies | 301 N Missouri Ave Ste 17, Corning, AR 72422-1603 | 2006-11-15 |
| 1225025232 | Cate Pharmacy Inc | Pharmacy | 500 N Missouri Ave, Corning, AR 72422-1616 | 2005-10-04 |
| 1851771711 | Kacey Killebrew | Pharmacist | 500 N Missouri Ave, Corning, AR 72422-1616 | 2015-06-05 |
| Find all providers in zip 72422 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027472 | Adventist Health Physicians Network | Podiatrist | 155 Solano St, Corning, CA 96021-3511 | 2019-05-06 |
| 1285795906 | Steuben Podiatry Assoc., L.l.p | Podiatrist | 154 E 2nd St, Corning, NY 14830-2802 | 2006-12-13 |
| 1689750432 | Donald B Rubin | Podiatrist | 154 E 2nd St, Corning, NY 14830-2802 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003210 | Healthy Connections Specialty, LLC | Podiatrist | 900 Martin Luther King Blvd Ste 108, Malvern, AR 72104-2217 | 2020-11-03 |
| 1417509597 | Dr. Austin Kramer P.a. | Podiatrist | 509 E Millsap Rd Ste Ve101, Fayetteville, AR 72703-4067 | 2019-07-10 |
| 1174092217 | Conway Regional Medical Center Inc. | Podiatrist | 550 Club Ln Ste 1, Conway, AR 72034-3681 | 2018-11-19 |
| 1457731804 | Tait Podiatry, LLC | Podiatrist | 2 Margeaux Ct, Little Rock, AR 72223-9193 | 2015-06-01 |
| 1386045763 | Rajnish Rammohan | Podiatrist | 5004 S U St Ste 101b, Fort Smith, AR 72903-3600 | 2014-09-04 |
| 1346651494 | Timothy Wayne Gauldin | Podiatrist | 106 Ridgeway St Ste D, Hot Springs, AR 71901-7157 | 2014-05-12 |
| 1902239486 | Austin Alan Kramer | Podiatrist | 509 E Millsap Rd Ste 101, Fayetteville, AR 72703-4862 | 2013-08-19 |
| 1609123223 | Supply and General Equipment, Inc. | Podiatrist | 13310 Kanis Road, Little Rock, AR 72211-4008 | 2012-08-14 |
| 1093949448 | Gina Marie Morgan | Podiatrist | 2308 Royal Ct Unit A, Bryant, AR 72022-4216 | 2009-05-13 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.