ARKANSAS FOOT CARE CLINIC, INC (NPI# 1568465375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568465375 |
| Entity Type | Organization |
| Organization Name | ARKANSAS FOOT CARE CLINIC, INC |
| Other Organization Name | AQUILAR FOOT CARE CLINIC |
| Practice Address |
2400 W Main St Russellville AR 72801-2531 |
| Mailing Address |
Po Box 2089 Russellville AR 72811-2089 |
| Practice Telephone | 4798903668 |
| Practice Fax Number | 4798909513 |
| Mailing Telephone | 4798903668 |
| Mailing Fax Number | 4798909513 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MRS. JENNIFER AQUILAR (ASSISTANT OFFICE MANAGER) |
| Authorized Official Telephone | 4799702832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
AR141 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 139915748 | 05 | |
| AR | BCBS GROUP NUMBER | 5F442 | 01 |
| AR | RAILROAD MEDICARE NUMBER | DE6137 | 01 |
| Other Name | Type Code |
|---|---|
| Aquilar Foot Care Clinic | Doing Business As Name - Organization |
| Street Address |
2400 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778407 | Danny J Aquilar | Podiatrist | 2400 W Main St, Russellville, AR 72801-2531 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982968574 | Adam Lloyd Bingham | Podiatrist | 1713 W Main St, Russellville, AR 72801-2721 | 2012-06-27 |
| 1235314147 | Stephanie A. Roth | Podiatrist | 703 W Main St, Russellville, AR 72801-3616 | 2008-01-09 |
| 1942243787 | Reel Family Foot Clinic, P.a. | Podiatrist | 201 E Parkway Dr, Russellville, AR 72801-3913 | 2006-06-13 |
| 1750663571 | River Valley Foot & Ankle Clinic | Podiatrist | 703 W Main St, Russellville, AR 72801-3616 | 2011-09-19 |
| 1699778407 | Danny J Aquilar | Podiatrist | 2400 W Main St, Russellville, AR 72801-2531 | 2005-05-24 |
| 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 |
| 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 |
| 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 |
| 1295743557 | Crotty Foot Clinic P A | Podiatrist | 6600 Rogers Ave, Fort Smith, AR 72903-4064 | 2006-08-03 |
| 1104842814 | Joseph M. Lacava | Podiatrist | 3339 Central Ave, Suite F, Hot Springs, AR 71913-6138 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on ARKANSAS FOOT CARE CLINIC, INC.
| 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.