Crestwood Foot Clinic, LLC
NPI 1962677906ActiveOrganization· Podiatrist· North Little Rock, AR
Podiatrist in North Little Rock, Arkansas, registered in NPPES in April 2008. The authorized official on file is Martha A. Jackson, DPM, Owner.
Overview
| NPI | 1962677906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2008 |
| Last updated in NPPES | Jul 14, 2020 |
| Certified by provider | Jul 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 87 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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