FOOT CARE OF NORTHEAST ARKANSAS PA


Address: 406 E Washington Ave, Jonesboro, AR 72401-3108
Phone: 8709338900

FOOT CARE OF NORTHEAST ARKANSAS PA (NPI# 1750550489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750550489
Entity Type Organization
Organization Name FOOT CARE OF NORTHEAST ARKANSAS PA
Practice Address 406 E Washington Ave
Jonesboro
AR 72401-3108
Mailing Address Po Box 1984
Jonesboro
AR 72403-1984
Practice Telephone 8709338900
Practice Fax Number 8709332611
Mailing Telephone 8709338900
Mailing Fax Number 8709332611
Enumeration Date 2008-02-27
Last Update Date 2008-08-28
Authorized Official Name DR. EDDY LLOYD CALDWELL (PRESIDENT)
Authorized Official Telephone 8709338900
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist AR163 AR Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
QUALCHOICE 16888000000 01
AR MEDICARE 5F963 01
AR 130246748 05
AR 167681748 05
BCBS 5T344 01
RR MEDICARE 480034780 01

Office Location

Street Address 406 E WASHINGTON AVE
City JONESBORO
State AR
Zip Code 72401-3108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235131640 Eddy Lloyd Caldwell Podiatrist 406 E Washington Ave, Jonesboro, AR 72401-3108 2005-08-15
1902407349 Russ Allen Pierce Pharmacist 406 E Washington Ave, Jonesboro, AR 72401-3108 2020-11-03
1982198388 Anovorx Group, LLC Pharmacy 406 E Washington Ave, Jonesboro, AR 72401-3108 2018-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861436875 Michael Allen Haughey Podiatrist 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401 2006-06-16
1235131640 Eddy Lloyd Caldwell Podiatrist 406 E Washington Ave, Jonesboro, AR 72401-3108 2005-08-15
1346246352 Walter Wadsworth Hayes Podiatrist 1000 Windover, Suite A, Jonesboro, AR 72401 2005-06-23
1215931951 Lee Paul Woodruff Podiatrist 1815 Executive Sq, Jonesboro, AR 72401-6086 2005-06-10
1114264652 Jaclyn Marie Schwartz Podiatrist 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 2013-01-03
1255698627 Vinay Kumar Matai Podiatrist 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2012-04-23
1184756280 Christopher Rowlett Podiatrist 4802 E Johnson Ave, Jonesboro, AR 72401 2007-03-12
1376564971 Mohsen Khoshneviszadeh Podiatrist 2400 Mount Zion Pkwy, Southwood Medical Center - Dept of Podiatry, Jonesboro, GA 30236-2500 2006-07-21
1013940394 Walter W. Hayes, D.p.m., P.a. Podiatrist 1000 Windover, Suite A, Jonesboro, AR 72401 2006-07-09
1396742870 Clayton Mobile Diagnostic Clinic Podiatrist 6911 Tara Blvd, Jonesboro, GA 30236-1503 2005-06-30
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

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.

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