Foot And Ankle Specialty Clinic

LBN: Vafa Ferdowsian Dpm, P.A.
Foot And Ankle Specialty Clinic is an health care organization with primary practice located at 1120 Hogan Ln Ste B , Conway AR 72034-8216. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Vafa Ferdowsian Dpm, P.A. can be contacted via phone (501) 327-3668, or through Ferdowsian, Vafa N via phone (501) 327-3668.

Contact Information

Primary practice address
1120 Hogan Ln Ste B Conway AR 72034-8216
Phone: (501) 327-3668
Fax: (501) 327-3664
Website:
Map and Directions
Authorized official contact:
Name: Ferdowsian, Vafa N Doctor of Podiatric Medicine (DPM)
Phone: (501) 327-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 230 Arkansas
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1922285147
LBN Legal business name Vafa Ferdowsian Dpm, P.A.
DBA Doing business as Foot And Ankle Specialty Clinic
Authorized official Ferdowsian, Vafa N Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Sep 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922285147 NPPES
Arkansas Other 05080020101 QUALCHOICE INDIVIDUAL NUM
Arkansas MEDICAID 201228716 QUALCHOICE INDIVIDUAL NUM
Arkansas MEDICAID 156810717 QUALCHOICE INDIVIDUAL NUM
Arkansas Other P00304134 QUALCHOICE INDIVIDUAL NUM
Arkansas MEDICAID 163819748 QUALCHOICE INDIVIDUAL NUM
Arkansas Other 5764142 QUALCHOICE INDIVIDUAL NUM
Arkansas Other 5N327 QUALCHOICE INDIVIDUAL NUM

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