Vafa Ferdowsian DPM, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

230 Issued in AR

Legal business name

VAFA FERDOWSIAN DPM, P.A.

Practice address

1120 Hogan LN Ste B
Conway, AR 72034-8216

Phone

(501) 327-3668

Fax

(501) 327-3664

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Vafa N Ferdowsian, DPM

Title

Owner/Physician

Phone

(501) 327-3668

Specialties & licenses 3

Addresses

Other identifiers 7

Other names 1

• Foot and Ankle Specialty Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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

• Joshua Alexander McLaughlin

  • Foot & Ankle Surgery Podiatrist
  • Conway, AR
  • NPI 1528687274
  Medicare reassignment NPD
• Zane Moore, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Conway, AR
  • NPI 1891109963

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1922285147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10607",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340010",
            "telephone_number": "501-327-3668",
            "fax_number": "501-327-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LN STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348216",
            "telephone_number": "501-327-3668",
            "fax_number": "501-327-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAFA FERDOWSIAN DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "FERDOWSIAN",
        "authorized_official_first_name": "VAFA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "501-327-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "230",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE INDIVIDUAL NUM",
            "identifier": "05080020101",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201228716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156810717",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00304134",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163819748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIVIDUAL NUMBER",
            "identifier": "5764142",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5N327",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andria Casie Upton, OTR/L
• Ura Resource Center, LLC
• US Compounding Inc.
• Nichole Lea Ussery, RN
• Vafa Ferdowsian DPM, P.a.
• Pedro Vincente Valdes Jr.
• Carleigh Lynn Valentine Tapp, OT
• Kara Valentine
• Jon C Vammen, DDS
• Thu Van, O.D.

• Foot & Ankle Surgery Podiatrist in Conway, AR
• Providers in Conway, AR by specialty
• Foot & Ankle Surgery Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.