Provider Demographics
NPI:1184163313
Name:A STEP AHEAD FOOT AND ANKLE CLINIC
Entity type:Organization
Organization Name:A STEP AHEAD FOOT AND ANKLE CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHESHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-664-0008
Mailing Address - Street 1:1432 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7219
Mailing Address - Country:US
Mailing Address - Phone:870-345-3180
Mailing Address - Fax:870-345-3180
Practice Address - Street 1:1432 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7219
Practice Address - Country:US
Practice Address - Phone:870-345-3180
Practice Address - Fax:870-345-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR264213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1477644516OtherINDIVIDUAL NPI
AR1821460676OtherORGANIZATIONAL NPI FOR 1816 EAST MAIN STREET. MOUNTAIN VIEW AR