Heritage Foot Clinic LLC

Primary specialty

TechnicianTaxonomy code 374700000X

Legal business name

HERITAGE FOOT CLINIC LLC

Practice address

208 N Van Buren
Weiner, AR 72479-8948

Phone

(870) 761-5878

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Kurt Folden

Title

Owner

Phone

(870) 761-5878

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tommy W Wagner, MD

  • Family Medicine Physician
  • Manila, AR
  • NPI 1952385064
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326264607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N VAN BUREN",
            "city": "WEINER",
            "state": "AR",
            "postal_code": "724798948",
            "telephone_number": "870-761-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N VAN BUREN",
            "city": "WEINER",
            "state": "AR",
            "postal_code": "724798948",
            "telephone_number": "870-761-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FOOT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLDEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-761-5878"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Baker, NP
• Colleen Marie Blanchard, APRN-CNP
• Bradley Bibb, MD PLLC
• Melanie Condra, APRN FNP-C
• Cotton & Earls Drug Stores Inc
• Hessling Healthcare LLC
• Lindsay Marie Massey, CNP
• Tara E Stoner, MSN, FNP-C
• Tekeyla Warfield
• Weiner School District

• All providers in Weiner, AR
• Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.