Caesar S. Divino D.P.M. PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

164 Issued in AR

Legal business name

CAESAR S. DIVINO D.P.M. PA

Practice address

3065 Highway 367 S
Suite 11
Cabot, AR 72023-8660

Phone

(501) 941-3797

Fax

(501) 941-7760

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Hector Solomon Divino

Title

Office Manager

Phone

(501) 941-3797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cabot Foot Clinic Doing business as

Locations

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1811280894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 HIGHWAY 367 S",
            "address_2": "SUITE 11",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238660",
            "telephone_number": "501-941-3797",
            "fax_number": "501-941-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 HIGHWAY 367 S",
            "address_2": "SUITE 11",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238660",
            "telephone_number": "501-941-3797",
            "fax_number": "501-941-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAESAR S. DIVINO D.P.M. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "DIVINO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "SOLOMON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-941-3797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145589748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cabot Medical Park Pharmacy Inc
• Cabot Nursing and Rehabilitation Center, LLC
• Cabot Pharmacy Inc
• Cabot Physical Therapy
• Cabot Public Schools
• Zachary Wyatt Cagle, APRN, FNP-C
• Whitney Woodward Campbell, PHARM D
• Travis Cantrell
• Hannah Kay Carlisle, RD
• Melissa Lea Carter, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.