NPIMap

Organization Active NPI

Wharton Clinic, PA

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1003862251
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6689 Issued in AR
Legal business name
WHARTON CLINIC, PA
Practice address
1012 E Church St
Suite C
Warren, AR 71671-3509
Phone
(870) 226-6786
Fax
(870) 226-5638
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joe H Wharton, MDNPI 1225084577
Title
Owner
Phone
(870) 226-6786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C6689 AR Primary

Addresses

Primary practice location

1012 E Church St
Suite C
Warren, AR 71671-3509

Mailing address

PO Box 850
Warren, AR 71671-0850
Phone (870) 226-6786

Other identifiers 1

IdentifierTypeStateIssuer
1279200000OtherARQUALCHOICE

National Provider Directory

National Provider Directory

Locations

1012 E Church St
Ste C
Warren, AR 71671
Phone (870) 226-6786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003862251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716710850",
            "telephone_number": "870-226-6786",
            "fax_number": "870-226-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713509",
            "telephone_number": "870-226-6786",
            "fax_number": "870-226-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTON CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-226-6786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "1279200000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.