Active NPI
Edward a Sharrer DPM PLLC
Doing business as Crestwood Podiatry and Wound Care Clinic
- Foot & Ankle Surgery Podiatrist
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- EDWARD A SHARRER DPM PLLC
- Doing business as
- Crestwood Podiatry and Wound Care Clinic
- Practice address
- 2501 Crestwood Rd Ste 101
North Little Rock, AR 72116-7615 - Phone
- (501) 771-4785
- Fax
- (501) 771-4787
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- 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
- Edward A Sharrer, DPM
- Title
- Owner
- Phone
- (963) 671-0780
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
2501 Crestwood Rd Ste 101
North Little Rock, AR 72116-7615
Mailing address
2501 Crestwood Rd Ste 101
North Little Rock, AR 72116-7615
Phone (501) 771-4785
Other names 1
- Crestwood Podiatry and Wound Care Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1235867300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CRESTWOOD RD STE 101",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167615",
"telephone_number": "501-771-4785",
"fax_number": "501-771-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CRESTWOOD RD STE 101",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167615",
"telephone_number": "501-771-4785",
"fax_number": "501-771-4787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD A SHARRER DPM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "SHARRER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "963-671-0780",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crestwood Podiatry and Wound Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.