Foot Care of Northeast Arkansas PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

AR163 Issued in AR

Legal business name

FOOT CARE OF NORTHEAST ARKANSAS PA

Practice address

406 E Washington Ave
Jonesboro, AR 72401-3108

Phone

(870) 933-8900

Fax

(870) 933-2611

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eddy Lloyd Caldwell, DPMNPI 1235131640

Title

President

Phone

(870) 933-8900

Specialties & licenses 1

Addresses

Other identifiers 6

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.

• Eddy Lloyd Caldwell, DPM

  • Podiatrist
  • Jonesboro, AR
  • NPI 1235131640
  Medicare reassignment Care Compare group NPD Authorized official
• Erik Rosenlof, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jonesboro, AR
  • NPI 1760613004

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1750550489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1984",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031984",
            "telephone_number": "870-933-8900",
            "fax_number": "870-933-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013108",
            "telephone_number": "870-933-8900",
            "fax_number": "870-933-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE OF NORTHEAST ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-933-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "AR163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "16888000000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167681748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480034780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5F963",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5T344",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130246748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashdon Floyd
• Tiffany Floyd
• Focus, Inc
• Amber D Fondo
• Steven C Fontana, CRNA
• Amy Elizabeth Ford, P.T.
• Andrew Ford
• Angela B Ford, LCSW
• Diana J Ford, CNP
• Jesse Daniel Ford, AT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.