FAMILY FOOT CLINIC (NPI# 1669635280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669635280 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT CLINIC |
| Practice Address |
203 Sevier St Clarksville AR 72830 |
| Mailing Address |
203 W Sevier St Clarksville AR 72830-3627 |
| Practice Telephone | 4797542811 |
| Practice Fax Number | 4797542984 |
| Mailing Telephone | 4797542811 |
| Mailing Fax Number | 4797542984 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. JEFFREY FRANK RESIMONT (PHYSICIAN) |
| Authorized Official Telephone | 4797542811 |
| Authorized Official Credential | D.P.M., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 130 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123304717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104015189 | Family Foot Clinic | Podiatrist | 1501 N Missouri St, Macon, MO 63552-1969 | 2007-10-16 |
| 1326286493 | Family Foot Clinic | Podiatrist | 702 Plank Rd, South Hill, VA 23970-2414 | 2009-01-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY FOOT CLINIC | 215 West 10th Ave, Eugene, OR 97401 |
| Washington State Corporations | FAMILY FOOT CLINIC INC. | 205 15th Ave Sw Ste D, Puyallup, WA 98371-7873 |
| Oregon Corporations, Companies and Business Names | FAMILY FOOT CLINIC LLC | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068 |
| Virginia Business Entities | Family Foot Clinic P.C. | 702 Plank Road, South Hill, Virginia 23970 |
| Street Address |
203 SEVIER ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| 1982731246 | Diana Tillman Bowen | Case Manager/Care Coordinator | 1021 Poplar St, Clarksville, AR 72830 | 2007-02-27 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1790105385 | Louis Vincent Defazio II | Podiatrist | 6100 Daylong Ln Ste 208, Clarksville, MD 21029-1655 | 2014-04-22 |
| 1700174604 | Jenna Beth Vaught | Podiatrist | 746 Parkwood Dr, Clarksville, IN 47129-1273 | 2011-07-13 |
| 1508954561 | David H. Bolonkin, Dpm, Inc | Podiatrist | 1402 Blackiston Mill Rd, Clarksville, IN 47129-2279 | 2006-10-11 |
| 1740374818 | Jeff Frank Resimont | Podiatrist | 203 W Sevier St, Clarksville, AR 72830-3627 | 2006-10-03 |
| 1982621603 | Paulo R.t. Yen | Podiatrist | 1735 Haynes St, Clarksville, TN 37043-4598 | 2006-07-17 |
| 1114993078 | Ross E Taubman | Podiatrist | 6100 Daylong Ln, Suite 102, Clarksville, MD 21029-1626 | 2006-02-28 |
| 1942200076 | Michael B. Schussler | Podiatrist | 1762 Memorial Dr, Clarksville, TN 37043-4562 | 2005-07-29 |
| 1780050542 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 6100 Daylong Ln, Suite 208, Clarksville, MD 21029-1626 | 2015-08-17 |
| 1902192156 | Casey Robert Friske | Podiatrist | 6100 Daylong Ln, Suite 208, Clarksville, MD 21029-1626 | 2011-06-27 |
| 1538332010 | David E Smith | Podiatrist | 647 Dunlop Ln, Suite 209, Clarksville, TN 37040-5165 | 2008-04-07 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on FAMILY FOOT CLINIC.
| 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.