NPIMap

Organization Active NPI

Family Foot Clinic

  • Podiatrist
  • Clarksville, AR
National Provider Identifier
1669635280
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
130 Issued in AR
Legal business name
FAMILY FOOT CLINIC
Practice address
203 Sevier St
Clarksville, AR 72830
Phone
(479) 754-2811
Fax
(479) 754-2984
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Jeffrey Frank Resimont, D.P.M., P.A.
Title
Physician
Phone
(479) 754-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 130 AR Primary

Addresses

Primary practice location

203 Sevier St
Clarksville, AR 72830

Mailing address

203 W Sevier St
Clarksville, AR 72830-3627
Phone (479) 754-2811

Other identifiers 1

IdentifierTypeStateIssuer
123304717MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1669635280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W SEVIER ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303627",
            "telephone_number": "479-754-2811",
            "fax_number": "479-754-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SEVIER ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "72830",
            "telephone_number": "479-754-2811",
            "fax_number": "479-754-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "RESIMONT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-754-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M., P.A."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123304717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.