DR. PHETSAMONE PETER XAYSANASY D.P.M.
NPI 1063456184
Podiatrist in Fayetteville, AR

NPI Status: Active since June 16, 2006

Contact Information

125 W SUNBRIDGE DR
SUITE 1
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 251-9200

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  • Individual
  • Male
  • Podiatrist

About PHETSAMONE XAYSANASY

This page provides the complete NPI Profile along with additional information for Phetsamone Xaysanasy, a provider established in Fayetteville, Arkansas with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1063456184 assigned on June 2006. The practitioner's primary taxonomy code is 213E00000X with license number 193 (AR). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1063456184
Provider Name
DR. PHETSAMONE PETER XAYSANASY D.P.M.
Gender
Male
Entity Type
Individual
Location Address
125 W SUNBRIDGE DR SUITE 1 FAYETTEVILLE, AR 72703
Location Phone
(479) 251-9200
Mailing Address
125 W SUNBRIDGE DR SUITE 1 FAYETTEVILLE, AR 72703
Mailing Phone
(479) 251-9200
Is Sole Proprietor?
No
Enumeration Date
06-16-2006
Last Update Date
01-03-2011
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A podiatrist like Phetsamone Xaysanasy provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
193
License State
AR
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5L630MEDICARE PIN (08)AR 
U82695MEDICARE UPIN (02)AR 
14086717MEDICAID (05)AR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063456184
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201238512116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 5 + 1 + 2 + 1 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1063456184 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003872250MRS. SARAH MATOUSEK MS CCC SLP
Individual
Speech-Language Pathologist125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
(479) 587-9201
1194868281NORTHWEST ARKANSAS PODIATRY CENTER, INC.
Organization
Podiatrist125 W SUNBRIDGE DR SUITE 1
FAYETTEVILLE, AR 72703
(479) 251-9200
1437115961ARCHWAY THERAPY SERVICES
Organization
Speech-Language Pathologist125 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
(479) 587-9201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063456184, enumerated in the NPI registry as an "individual" on June 16, 2006

The provider is located at 125 W Sunbridge Dr Suite 1 Fayetteville, Ar 72703 and the phone number is (479) 251-9200

The provider's speciality is Podiatrist with taxonomy code 213E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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