Loren Bartole, DPM, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

151 Issued in AR

Legal business name

LOREN BARTOLE, DPM, LLC

Practice address

7509 Warden Rd
Sherwood, AR 72120-5042

Phone

(501) 835-9911

Fax

(501) 835-9933

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Loren Bartole, DPMNPI 1639238181

Title

Owner/Podiatrist

Phone

(501) 835-9911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Loren Bartole, DPM

  • Podiatrist
  • Sherwood, AR
  • NPI 1639238181

  3678777398

  Same PAC ID

Locations

Practitioners 1

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

• Loren Bartole, DPM

  • Podiatrist
  • Sherwood, AR
  • NPI 1639238181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1386808764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5772",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720785772",
            "telephone_number": "501-835-9911",
            "fax_number": "501-835-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 WARDEN RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205042",
            "telephone_number": "501-835-9911",
            "fax_number": "501-835-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN BARTOLE, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BARTOLE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "501-835-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Podiatrist in Arkansas

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