Organization Active NPI

McLaughlin Podiatry

Doing business as Natural State Foot and Ankle Clinic

  • Podiatric Clinic/Center
  • Conway, AR
National Provider Identifier
1073357612
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
MCLAUGHLIN PODIATRY
Doing business as
Natural State Foot and Ankle Clinic
Practice address
1120 Hogan LN Ste B
Conway, AR 72034-8216
Phone
(501) 327-3668
Fax
(501) 327-3664
NPI assigned
Jun 19, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Joshua McLaughlin, DPMNPI 1528687274
Title
Owner
Phone
(501) 327-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1120 Hogan LN Ste B
Conway, AR 72034-8216

Mailing address

1120 Hogan LN Ste B
Conway, AR 72034-8216
Phone (501) 327-3668

Other practice location 1

1713 W Main St
Russellville, AR 72801-2721
Phone (479) 964-4000

Other names 1

  • Natural State Foot and Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240826001187 AR Part B Supplier - Clinic/Group Practice 7517406366 Receives reassigned benefits from 1 practitioner
Practice locations: Conway, AR; Russellville, AR
O20250103003280 AR DME Supplier - Physician - Podiatry 7517406366 Practice locations: Conway, AR

National Provider Directory

National Provider Directory

Locations

1713 W Main St
Russellville, AR 72801
Phone (479) 964-4000

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1073357612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LN STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348216",
            "telephone_number": "501-327-3668",
            "fax_number": "501-327-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LN STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348216",
            "telephone_number": "501-327-3668",
            "fax_number": "501-327-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012721",
            "country_code": "US",
            "telephone_number": "479-964-4000",
            "fax_number": "501-327-3664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLAUGHLIN PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-327-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural State Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.