NPIMap

Organization Active NPI

Spencer H. Guinn, M.D. P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
National Provider Identifier
1003881855
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MC2188 Issued in AR
Legal business name
SPENCER H. GUINN, M.D. P.A.
Practice address
1416 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4362
Phone
(870) 932-1820
Fax
(870) 972-6712
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mrs. Betty L. Rodgers
Title
Office Manager
Phone
(870) 932-1820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MC2188 AR Primary

Addresses

Primary practice location

1416 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4362

Mailing address

1416 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4362
Phone (870) 932-1820

Other identifiers 1

IdentifierTypeStateIssuer
146683002MedicaidAR

National Provider Directory

National Provider Directory

Locations

505 E Matthews Ave
Ste 303
Jonesboro, AR 72401
Phone (870) 932-1820

1416 E Matthews Ave
Ste 200
Jonesboro, AR 72401
Phone (870) 932-1820

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1003881855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014362",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014362",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER H. GUINN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-932-1820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "MC2188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146683002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.