Provider Demographics
NPI:1578944385
Name:FOOT & ANKLE ASSOCIATES OF CENTRAL ARKANSAS, PLLC
Entity Type:Organization
Organization Name:FOOT & ANKLE ASSOCIATES OF CENTRAL ARKANSAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:DELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:501-534-8888
Mailing Address - Street 1:4200 N RODNEY PARHAM RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2461
Mailing Address - Country:US
Mailing Address - Phone:501-534-8888
Mailing Address - Fax:501-534-8891
Practice Address - Street 1:1900 MALVERN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7759
Practice Address - Country:US
Practice Address - Phone:501-321-2444
Practice Address - Fax:501-321-9521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR167213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty