Organization Active NPI

East Arkansas Foot Specialists

  • Podiatrist
  • West Memphis, AR
National Provider Identifier
1063757490
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
120 Issued in AR
Legal business name
EAST ARKANSAS FOOT SPECIALISTS
Practice address
401 Graham St
West Memphis, AR 72301-3117
Phone
(870) 735-6500
Fax
(870) 735-4442
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen H. Zimmerman, DPM
Title
Secy/Teasurer
Phone
(870) 735-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 120 AR Primary

Addresses

Primary practice location

401 Graham St
West Memphis, AR 72301-3117

Mailing address

401 Graham St
West Memphis, AR 72301-3117
Phone (870) 735-6500

National Provider Directory

National Provider Directory

Locations

902 Holiday Dr
Forrest City, AR 72335
Phone (870) 633-0800

902 Holiday Dr
Ste 100
Forrest City, AR 72335
Phone (870) 630-1100

33904 Highway 63 E
Marked Tree, AR 72365
Phone (870) 358-2432

228 W Tyler Ave
Ste 208
West Memphis, AR 72301
Phone (870) 735-6500

401 Graham St
West Memphis, AR 72301
Phone (870) 735-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1063757490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GRAHAM ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013117",
            "telephone_number": "870-735-6500",
            "fax_number": "870-735-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRAHAM ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013117",
            "telephone_number": "870-735-6500",
            "fax_number": "870-735-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARKANSAS FOOT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SECY/TEASURER",
        "authorized_official_telephone_number": "870-735-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.