NWA PODIATRY CENTER INC.
NPI 1194868281
Podiatrist in Fayetteville, AR

NPI Status: Active since February 15, 2007

Contact Information

125 W SUNBRIDGE DR
SUITE 1
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 251-9200

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  • Organization
  • Podiatrist

About NWA PODIATRY CENTER INC.

Nwa Podiatry Center Inc. is a provider established in Fayetteville, Arkansas operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1194868281 assigned on February 2007. The practitioner's primary taxonomy code is 213E00000X with license number 193 (AR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Nwa Podiatry Center Inc.. The authorized official of this NPI record is Dr. Phetsamone Peter Xaysanasy Dpm (Owner)

NPI1194868281
Provider Legal NameNORTHWEST ARKANSAS PODIATRY CENTER, INC.
Other Organization NameNWA PODIATRY CENTER INC.
Other Name TypeOther Name (5)
Location Address125 W SUNBRIDGE DR SUITE 1 FAYETTEVILLE, AR 72703
Location Phone(479) 251-9200
Mailing Address125 W SUNBRIDGE DR SUITE 1 FAYETTEVILLE, AR 72703
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-15-2007
Last Update Date01-03-2011
Code Navigator

A podiatrist like Nwa Podiatry Center Inc. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
193
License State
AR
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PHETSAMONE PETER XAYSANASY DPM

Authorized Official Title
OWNER
Authorized Official Phone
(479) 251-9200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U82695MEDICARE UPIN (02)AR 
5L630C648MEDICARE ID-TYPE UNSPECIFIED (04)AR 
5C648OTHER (01)ARBLUECROSS BLUESHIELD
146684748MEDICAID (05)AR 
4738950001MEDICARE NSC (07)AR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194868281
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118416616216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 6 + 1 + 6 + 2 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1194868281 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003872250MRS. SARAH MATOUSEK MS CCC SLP
Individual
Speech-Language Pathologist125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
(479) 587-9201
1063456184DR. PHETSAMONE PETER XAYSANASY D.P.M.
Individual
Podiatrist125 W SUNBRIDGE DR SUITE 1
FAYETTEVILLE, AR 72703
(479) 251-9200
1437115961ARCHWAY THERAPY SERVICES
Organization
Speech-Language Pathologist125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
(479) 587-9201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194868281, enumerated in the NPI registry as an "organization" on February 15, 2007

The provider is located at 125 W Sunbridge Dr Suite 1 Fayetteville, Ar 72703 and the phone number is (479) 251-9200

This medical organization specializes in Podiatrist with taxonomy code 213E00000X

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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