Provider Demographics
NPI:1750316642
Name:ARNOLD, JAMES R (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1804
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-8304
Mailing Address - Country:US
Mailing Address - Phone:540-667-0130
Mailing Address - Fax:540-667-3893
Practice Address - Street 1:621 E JUBAL EARLY DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5178
Practice Address - Country:US
Practice Address - Phone:540-667-0130
Practice Address - Fax:540-667-3893
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300842213E00000X
WV00365213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009304223Medicaid
VA480000702Medicare PIN
U84966Medicare UPIN
VA009304223Medicaid
U84966Medicare UPIN