Organization Active NPI

Crotty Foot Clinic P a

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
National Provider Identifier
1295743557
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CROTTY FOOT CLINIC P A
Practice address
6600 Rogers Ave
Fort Smith, AR 72903-4064
Phone
(479) 452-6555
Fax
(479) 452-3894
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mrs. Patricia M Sears
Title
Business Manager
Phone
(479) 452-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6600 Rogers Ave
Fort Smith, AR 72903-4064

Mailing address

6600 Rogers Ave
Fort Smith, AR 72903-4064
Phone (479) 452-6555

Other identifiers 1

IdentifierTypeStateIssuer
57925OtherARMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

6600 Rogers Ave
Fort Smith, AR 72903
Phone (479) 452-6555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1295743557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034064",
            "telephone_number": "479-452-6555",
            "fax_number": "479-452-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034064",
            "telephone_number": "479-452-6555",
            "fax_number": "479-452-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTTY FOOT CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "479-452-6555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "57925",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.