Active NPI
Tracy Duncan, DPM
Doing business as Foot Health Specialist
- Foot & Ankle Surgery Podiatrist
- Blytheville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 142
- Legal business name
- TRACY DUNCAN, DPM
- Doing business as
- Foot Health Specialist
- Practice address
- 511 N 6TH St
Blytheville, AR 72315-2407 - Phone
- (870) 763-2326
- Fax
- (870) 763-2646
- NPI assigned
- Mar 11, 2008
- Last updated
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Duncan
- Title
- Doctor
- Phone
- (870) 763-2326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 142 | AR | Primary |
Addresses
Primary practice location
511 N 6TH St
Blytheville, AR 72315-2407
Mailing address
511 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 763-2326
Other names 1
- Foot Health Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930021869 | AR | DME Supplier - Physician - Podiatry | 3476673062 | Practice locations: Blytheville, AR |
National Provider Directory
National Provider DirectoryLocations
511 N 6th St
Blytheville, AR 72315
Phone (501) 763-2326
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Blytheville, AR
- NPI 1437142619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1780854240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152407",
"telephone_number": "870-763-2326",
"fax_number": "870-763-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152407",
"telephone_number": "870-763-2326",
"fax_number": "870-763-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACY DUNCAN, DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "870-763-2326"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AR",
"license": "142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot Health Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.