Arkansas Foot & Ankle Clinic, PA
Organization Active NPI Foot & Ankle Surgery Podiatrist · Pine Bluff, AR
NPI 1346534047 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1346534047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 162 (AR)
- Legal business name
- ARKANSAS FOOT & ANKLE CLINIC, PA
- Practice address
- 1801 W 40TH Ave
Suite 4E
Pine Bluff, AR 71603-6940 - Phone
- (870) 535-4850
- Fax
- (870) 535-3558
- NPI assigned
- May 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. John P Thrash
- Title
- Doctor
- Phone
- (870) 535-4850
Practitioners 1
-
John P Thrash, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110613000787 | AR | Part B Supplier - Clinic/Group Practice | 3274710587 |
Receives reassigned benefits from 1 practitioner Practice locations: Pine Bluff, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 162 | AR | Yes |
Addresses
Primary practice location
1801 W 40TH Ave
Suite 4E
Pine Bluff, AR 71603-6940
Mailing address
1801 W 40TH Ave
Suite 4E
Pine Bluff, AR 71603-6940
Phone (870) 535-4850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T328 | Other | AR | BLUE CROSS AND BLUE SHIELD |
| 17389000000 | Other | AR | QUAL CHOICE |
| 2720022 | Other | AR | UNITED HEALTHCARE |
| 480021446 | Other | AR | PALMETTO |
| 4249008 | Other | AR | AETNA |
| 130021717 | Medicaid | AR |
Other names
- Bryant Foot & Ankle Clinic
- South Arkansas Foot & Ankle Clinic
Other providers in Pine Bluff, AR
- Arkansas Cancer Clinic - Radiation Oncology, PA
- Arkansas Cancer Clinic PA
- Arkansas Cancer Clinic, PA
- Arkansas Center for Women, LTD
- Arkansas Children'S Hospital
- Arkansas Medical Center
- Arkansas Nephrology & Hypertension Clinic PA
- Arkansas Surgery & Endoscopy Center
- Rusty Armstrong
- Simmie Armstrong Jr.
All providers in Pine Bluff, AR · Foot & Ankle Surgery Podiatrist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.