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COOPER CLINIC PA
NPI 1780691758
Podiatrist in Fort Smith, AR

Active since August 02, 2006
5004 S U ST, SUITE 101B, FORT SMITH, AR 72903(479) 274-6700(479) 484-4768 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cooper Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER CLINIC PA (NPI 1780691758) is a healthcare organization registered as a podiatrist in Fort Smith, Arkansas and active in the NPI registry since August 2006. The organization lists Curtis Ralston, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780691758
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCOOPER CLINIC PA
Location Address5004 S U ST, SUITE 101BFort Smith, AR 72903-3600
Mailing AddressPo Box 3528Fort Smith, AR 72913-3528 · (479) 274-2000 · Fax (479) 274-2194
Phone(479) 274-6700
Fax(479) 484-4768
Organization SubpartNo
Authorized OfficialCurtis RalstonCeo · (479) 274-2000
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1780691758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in AR · MC-0254
Definition
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.
5004 S U ST, Fort Smith, AR 72903
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Other Identifiers 3

Medicare NSC0384730019AR
Medicaid1063768901AR
Medicaid130665748AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COOPER CLINIC PA
Podiatrist
5004 S U ST
FORT SMITH, AR 72903
Sebastian County (479) 274-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Clinic PA's NPI number?

The NPI number for Cooper Clinic PA is 1780691758. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Cooper Clinic PA located?

Cooper Clinic PA is located at 5004 S U St Suite 101B, Fort Smith, AR 72903. The listed phone number is (479) 274-6700.

What is Cooper Clinic PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Cooper Clinic PA was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.