OZARK FOOT & ANKLE PLC (NPI# 1376820167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376820167 |
| Entity Type | Organization |
| Organization Name | OZARK FOOT & ANKLE PLC |
| Practice Address |
500 S Mount Olive St Suite 201 Siloam Springs AR 72761-3602 |
| Mailing Address |
Po Box 8728 Fayetteville AR 72703-0013 |
| Practice Telephone | 4795493835 |
| Practice Fax Number | 4795494146 |
| Mailing Telephone | 4795493835 |
| Mailing Fax Number | 4795494146 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-08-09 |
| Authorized Official Name | JAMES JAY BRANTLEY (MANAGING MEMBER) |
| Authorized Official Telephone | 4795493835 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
152 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | SECRETARY OF STATE- DEPT OF CORPORATIONS | 811005690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812321 | Ozark Foot & Ankle Plc | Podiatrist | 24 Norris St, Eureka Springs, AR 72632-3541 | 2014-05-06 |
| 1710256003 | Ozark Foot & Ankle Plc | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2011-12-15 |
| Street Address |
500 S MOUNT OLIVE ST SUITE 201 |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196003 | Henry Todd Bowden | Specialist/Technologist | 500 S Mount Olive St, Suite 100, Siloam Springs, AR 72761-3602 | 2005-10-04 |
| 1376965970 | Bettie Skelton | Registered Nurse | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2014-01-16 |
| 1174800619 | St Francis House Nwa, Inc | Audiologist | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2011-11-11 |
| 1417197245 | St. Francis House Nwa, Inc | Clinic/Center | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2009-03-06 |
| 1245418144 | Total Renal Care Inc | Clinic/Center | 500 S Mount Olive St, Ste 107, Siloam Springs, AR 72761-3602 | 2008-02-04 |
| 1215020920 | Vicki Hurley Moore | Nurse Practitioner | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2006-10-02 |
| 1891894630 | Maurice Anthony Jones | Physician Assistant | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2006-09-21 |
| 1598876278 | Northwest Arkansas Renal Dialysis Associates | Internal Medicine | 500 S Mount Olive St, Suite 107, Siloam Springs, AR 72761-3602 | 2006-08-31 |
| 1053357491 | Richard T Pruiksma | Family Medicine | 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761-3602 | 2006-06-22 |
| 1053300871 | Dan Vancil | Physical Therapist | 500 S Mount Olive St, Siloam Springs, AR 72761-3602 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791369 | Kyle Haverstrom | Podiatrist | 200 S 20th St Ste B, Rogers, AR 72758-1100 | 2017-07-03 |
| 1609288984 | Aaron Teufel | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 | 2014-05-21 |
| 1568716744 | Spencer Lewis Mortensen | Podiatrist | 1500 Dodson Ave Ste 260, Fort Smith, AR 72901-5179 | 2012-11-09 |
| 1982968574 | Adam Lloyd Bingham | Podiatrist | 1713 W Main St, Russellville, AR 72801-2721 | 2012-06-27 |
| 1477881092 | Bradley Footcare LLC | Podiatrist | 116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 | 2009-11-19 |
| 1114160389 | Jesse H. Bradley Jr. | Podiatrist | 116 W Tyler Ave, Suite B, West Memphis, AR 72301-4221 | 2009-04-16 |
| 1154571495 | Mid-south Foot & Ankle Clinic P C | Podiatrist | 302 S Rhodes St, West Memphis, AR 72301-4215 | 2008-09-23 |
| 1235314147 | Stephanie A. Roth | Podiatrist | 703 W Main St, Russellville, AR 72801-3616 | 2008-01-09 |
| 1144341827 | Carlotta Monique Wells | Podiatrist | 1132 Malvern Ave, Hot Springs, AR 71901-6347 | 2007-04-02 |
| 1407936388 | Angela Lorraine Ayson | Podiatrist | 11 Halsted Cir Ste E, Rogers, AR 72756-3145 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on OZARK FOOT & ANKLE PLC.
| 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.