Family Medicine Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

165 Issued in AR

Legal business name

FAMILY MEDICINE PODIATRY

Practice address

1801 W 40TH Ave
Suite 6B
Pine Bluff, AR 71603-6940

Phone

(870) 534-8500

Fax

(870) 535-0801

NPI assigned

Dec 18, 2007

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John W Robinette, DPMNPI 1649254228

Title

Owner

Phone

(870) 534-8500

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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.

• John W Robinette, DPM

  • Podiatrist
  • Pine Bluff, AR
  • NPI 1649254228
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1356525026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 6B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-534-8500",
            "fax_number": "870-535-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 6B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-534-8500",
            "fax_number": "870-535-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ROBINETTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-534-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "165",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AR",
            "license": "165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136803748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eragon Precision Health LLC (Eragon Health Solutions LLC)
• Etherco Anesthesia PLLC
• Krystal Fair, BA, MHPP
• Sira Faizi, DO
• Family Medicine Associates of Pine
• Herbert F Fendley, MD
• Meagan Fenters
• Robert Ferguson, MD
• Jeffrey Harold Fergusson, DC
• First US Clinic PA

• Podiatrist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.