FAMILY MEDICINE PODIATRY (NPI# 1356525026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356525026 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE PODIATRY |
| Practice Address |
1801 W 40th Ave Suite 6b Pine Bluff AR 71603-6940 |
| Practice Telephone | 8705348500 |
| Practice Fax Number | 8705350801 |
| Mailing Telephone | 8705348500 |
| Mailing Fax Number | 8705350801 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | DR. JOHN W ROBINETTE (OWNER) |
| Authorized Official Telephone | 8705348500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
165 | AR | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 165 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 136803748 | 05 |
| Street Address |
1801 W 40TH AVE SUITE 6B |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577662 | Anna Talley Redman | Family Medicine | 1801 W 40th Ave, Ste 6a, Pine Bluff, AR 71603-6963 | 2005-06-08 |
| 1366822058 | Nicholas Holloway | Nurse Anesthetist, Certified Registered | 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | 2015-06-08 |
| 1306223078 | Clay Young | Registered Nurse | 1801 W 40th Ave, 2b, Pine Bluff, AR 71603-6940 | 2015-05-01 |
| 1346534047 | Arkansas Foot & Ankle Clinic, Pa | Podiatrist | 1801 W 40th Ave, Suite 4e, Pine Bluff, AR 71603-6940 | 2011-05-31 |
| 1477886109 | Arkansas Nephrology & Hypertension Clinic Pa | Specialist | 1801 W 40th Ave, Suite 7a, Pine Bluff, AR 71603-6940 | 2009-09-14 |
| 1114151404 | Sarahrose Schneider Webster | Surgery | 1801 W 40th Ave, Suite 4c, Pine Bluff, AR 71603-6940 | 2009-05-14 |
| 1730351941 | Jefferson Hospital Association | Clinic/Center | 1801 W 40th Ave, Suite 4b, Pine Bluff, AR 71603-6940 | 2008-03-27 |
| 1033380308 | John E Harris Md Pa | Family Medicine | 1801 W 40th Ave, Suite 5c, Pine Bluff, AR 71603-6940 | 2008-03-14 |
| 1316125040 | Oberia Lashon Byrd-hunt | Registered Nurse | 1801 W 40th Ave, Suite 2-b, Pine Bluff, AR 71603-6940 | 2008-02-05 |
| 1881873826 | J. W Nuckolls | Specialist | 1801 W 40th Ave, Pine Bluff, AR 71603-6940 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1710005509 | Scott K Gray, Dpm | Podiatrist | 1724 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2007-03-27 |
| 1649254228 | John W Robinette | Podiatrist | 1801 W 40th Ave, Suite 6b, Pine Bluff, AR 71603-6900 | 2005-12-06 |
| 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 | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on FAMILY MEDICINE PODIATRY.
| 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.