Vafa Ferdowsian DPM, P.a.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VAFA FERDOWSIAN DPM, P.A.

Doing business as

Foot and Ankle Specialty Clinic

Practice address

805 N Kentucky Ave Ste 3
West Plains, MO 65775-2045

Phone

(870) 508-4000

Fax

(870) 508-4006

NPI assigned

Mar 22, 2019

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

Phone

(501) 327-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foot and Ankle Specialty Clinic Doing business as

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
  NPD
• Zane Moore, D.P.M

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

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1922568245",
    "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": "805 N KENTUCKY AVE STE 3",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752045",
            "telephone_number": "870-508-4000",
            "fax_number": "870-508-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAFA FERDOWSIAN DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FERDOWSIAN",
        "authorized_official_first_name": "VAFA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-327-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518259498",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Elizabeth Turner, LCSW
• Bethany Jane Underwood, MPT
• Cindy Upton
• Urology Center of West Plains
• Cretia Lynne Ussery, QMHP RADC-P
• Ryan Nathaniel Vaisler, M.D.
• Carolyn Valade
• Maureen Gaye Vance, RPH
• Scott Vance
• Addy Vanoskeuls

• Durable Medical Equipment & Medical Supplies in West Plains, MO
• Providers in West Plains, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.