Ozark Foot & Ankle PLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

152 Issued in AR

Legal business name

OZARK FOOT & ANKLE PLC

Practice address

500 S Mount Olive St
Suite 201
Siloam Springs, AR 72761-3602

Phone

(479) 549-3835

Fax

(479) 549-4146

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

James Jay Brantley, DPM

Title

Managing Member

Phone

(479) 549-3835

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1376820167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8728",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030013",
            "telephone_number": "479-549-3835",
            "fax_number": "479-549-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MOUNT OLIVE ST",
            "address_2": "SUITE 201",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613602",
            "telephone_number": "479-549-3835",
            "fax_number": "479-549-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK FOOT & ANKLE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-549-3835",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE- DEPT OF CORPORATIONS",
            "identifier": "811005690",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Olson
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• Jeremy Wayne Owen, NP
• Nicholas Revan Owens
• Ozark Orthopaedics, P.a. (Ozark Orthopaedics)
• Ozark Orthopaedics, PA
• Ozark Pediatric Dentistry
• Ozark Systems Manufacturing, LLC
• Marian Christine Parson, RN

• Foot & Ankle Surgery Podiatrist in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Foot & Ankle Surgery Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.