Charles S Ginn DPM PA

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CHARLES S GINN DPM PA

Doing business as

Ginn Foot and Ankle

Practice address

4404 W Canopy Meadows Dr
Rogers, AR 72758-8302

Phone

(479) 531-7416

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stephen Ginn, DPM

Title

Podiatrist

Phone

(479) 531-7416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ginn Foot and Ankle Doing business as

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1417385246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 SE G ST STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123741",
            "telephone_number": "479-531-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 W CANOPY MEADOWS DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588302",
            "telephone_number": "479-531-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S GINN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "479-531-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185785717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ginn Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel R. Cestero Ruiz, MD
• Kellie Ann Chacanaca, APRN
• Andrea Kaylan Chaffin
• Tristin Chandler
• Olivia Grace Chappell, OTR
• Cole Andrew Charron, LPC, LMHP
• Chase Placek Floyd Meggers
• Patrick R Chase, MD
• Gabriela Chavarria, LAC
• Andreas J. Chen, MD

• Podiatric Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Podiatric Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.