Individual provider Active NPI

Max Douglas Rand, DPM

  • Foot & Ankle Surgery Podiatrist
  • Little Rock, AR
National Provider Identifier
1851644033
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
270 Issued in AR
Practice address
4200 N Rodney Parham Rd Ste 100
Little Rock, AR 72212-2458
Phone
(501) 534-8888
Fax
(501) 534-8891
NPI assigned
Oct 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PR216 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 270 AR Primary

Addresses

Primary practice location

4200 N Rodney Parham Rd Ste 100
Little Rock, AR 72212-2458

Mailing address

4200 N Rodney Parham Rd
Ste 100
Little Rock, AR 72212-2458
Phone (305) 494-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309002561 AR Practitioner - Podiatry 0840574943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR216FLMDFoot & Ankle Surgery Podiatrist
270ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of Central Arkansas, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2017 Accepting new patients
Foot & Ankle Associates of Central Arkansas, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2017 Accepting new patients

Locations

1900 Malvern Ave
Ste 203
Hot Springs National Park, AR 71901
Phone (501) 321-2444

4200 N Rodney Parham Rd
Ste 100
Little Rock, AR 72212
Phone (501) 534-8888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851644033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD",
            "address_2": "STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122458",
            "telephone_number": "305-494-6448",
            "fax_number": "954-518-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122458",
            "telephone_number": "501-534-8888",
            "fax_number": "501-534-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND",
        "first_name": "MAX",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR216",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.