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Dr. Phetsamone Peter Xaysanasy

Podiatrist

125 W Sunbridge Dr Suite 1
Fayetteville , Arkansas 72703-1899

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Dr. Phetsamone Peter Xaysanasy

Podiatrist

125 W Sunbridge Dr Suite 1
Fayetteville , Arkansas 72703-1899

(479) 251-9200

Write a Review Save Call

Dr. Phetsamone Peter Xaysanasy

Podiatrist

125 W Sunbridge Dr Suite 1
Fayetteville , Arkansas 72703-1899

(479) 251-9200 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist

Languages spoken

  • English

Location

125 W Sunbridge Dr Suite 1 Fayetteville , Arkansas 72703-1899

First Address

  • Dr. Phetsamone Peter Xaysanasy
  • 125 W Sunbridge Dr Suite 1
  • Fayetteville, AR
  • Zip : 72703-1899
  • Phone : (479) 251-9200

Second Address

  • Dr. Phetsamone Peter Xaysanasy
  • 125 W Sunbridge Dr Suite 1
  • Fayetteville, AR
  • Zip : 72703-1899
  • Phone : (479) 251-9200

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FAQs


Where did Dr. Phetsamone Peter Xaysanasy attend graduate school?

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Where did Dr. Phetsamone Peter Xaysanasy do his residency?

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Where did Dr. Phetsamone Peter Xaysanasy do his fellowship?

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Is Dr. Phetsamone Peter Xaysanasy board certified?

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What type of doctor is Dr. Phetsamone Peter Xaysanasy

Podiatrist

In what state does Dr. Phetsamone Peter Xaysanasy practice in?

Arkansas

Where is Dr. Phetsamone Peter Xaysanasy ’s practice located?

125 W Sunbridge Dr Suite 1 , Fayetteville, Arkansas, 72703-1899

What is Dr. Phetsamone Peter Xaysanasy ’s gender?

Male

Is Dr. Phetsamone Peter Xaysanasy a sole practitioner?

No

Is Dr. Phetsamone Peter Xaysanasy accepting new patients?

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What languages does Dr. Phetsamone Peter Xaysanasy speak?

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Does Dr. Phetsamone Peter Xaysanasy accept insurance?

Yes, Dr. Phetsamone Peter Xaysanasy accepts insurance

Does Dr. Phetsamone Peter Xaysanasy offers telemedicine?

Dr. Phetsamone Peter Xaysanasy has not indicated if he offers telemedicine

What is Dr. Phetsamone Peter Xaysanasy ’s professional license number?

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What is Dr. Phetsamone Peter Xaysanasy ’s NPI number?

1063456184

Does Dr. Phetsamone Peter Xaysanasy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 193 AR
Y 222Z00000X Podiatrist 193 AR

National Provider Identifier

NPI 1063456184
Provider Name Dr. Phetsamone Peter Xaysanasy
First Address Fayetteville, AR 72703-1899
Second Address Fayetteville, AR 72703-1899
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/06/2006
Last Update Date 03/01/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
14086717 (05) AR
U82695 (02) AR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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