Arkansas Foot Care Clinic, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

AR141 Issued in AR

Legal business name

ARKANSAS FOOT CARE CLINIC, INC

Doing business as

Aquilar Foot Care Clinic

Practice address

2400 W Main St
Russellville, AR 72801-2531

Phone

(479) 890-3668

Fax

(479) 890-9513

NPI assigned

May 24, 2005

Last updated

Nov 30, 2011By 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

Mrs. Jennifer Aquilar

Title

Assistant Office Manager

Phone

(479) 970-2832

Specialties & licenses 1

Addresses

Other names 1

• Aquilar Foot Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Danny J Aquilar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Russellville, AR
  • NPI 1699778407
  Medicare reassignment NPD
• Vafa N Ferdowsian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conway, AR
  • NPI 1033182837
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1568465375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728112089",
            "telephone_number": "479-890-3668",
            "fax_number": "479-890-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012531",
            "telephone_number": "479-890-3668",
            "fax_number": "479-890-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS FOOT CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "AQUILAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "479-970-2832",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "AR141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquilar Foot Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Area Agency on Aging of Western Ar, Inc
• Magally Lizeth Arellano
• Arkansas CVS Pharmacy LLC (CVS Pharmacy 11093)
• Arkansas Emergency Physician Associates, P.a.
• Arkansas Family Care Network (Russellville Pediatric & Adolescent Clinic)
• Arkansas Health Group (Baptist Health Family Clinic - Russellville)
• Arkansas Hospice, Inc. (LifeTouch Health Hospice Care)
• Arkansas Liver and Gastroenterology, P.a.
• Arkansas Nephrology Services, LTD. (River Valley Kidney Center)
• Arkansas Renal Group PA (Russellville Nephrology)

• Foot & Ankle Surgery Podiatrist in Russellville, AR
• Providers in Russellville, 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 Nov 30, 2011; 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.