Organization Active NPI

Edward a Sharrer DPM PLLC

Doing business as Crestwood Podiatry and Wound Care Clinic

  • Foot & Ankle Surgery Podiatrist
  • North Little Rock, AR
National Provider Identifier
1235867300
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Edward A Sharrer, DPMNPI 1891789301
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221202000491 AR Part B Supplier - Clinic/Group Practice 2163890757 Receives reassigned benefits from 2 practitioners
Practice locations: North Little Rock, AR
O20230118000453 AR DME Supplier - Physician - Podiatry 2163890757 Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.