Active NPI
Podiatry Group the Foot Doctors LTD
- Foot & Ankle Surgery Podiatrist
- Jonesboro, AR
National Provider Identifier
1043251762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PODIATRY GROUP THE FOOT DOCTORS LTD
- Practice address
- 637 E Matthews Ave
Jonesboro, AR 72401-3145 - Phone
- (870) 931-3338
- Fax
- (870) 935-9084
- NPI assigned
- Jun 10, 2006
- Last updated
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Edward Reiner, D.P.M.
- Title
- President
- Phone
- (870) 931-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
637 E Matthews Ave
Jonesboro, AR 72401-3145
Mailing address
637 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 931-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118794748 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Jonesboro, AR
- NPI 1841236668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1043251762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013145",
"telephone_number": "870-931-3338",
"fax_number": "870-935-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013145",
"telephone_number": "870-931-3338",
"fax_number": "870-935-9084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY GROUP THE FOOT DOCTORS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "REINER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-931-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118794748",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.