Active NPI
Harton Medical Clinic PLLC PA
- Family Medicine Physician
- Warren, AR
National Provider Identifier
1013917780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3166
- Legal business name
- HARTON MEDICAL CLINIC PLLC PA
- Practice address
- 614 N Martin St
Warren, AR 71671-1904 - Phone
- (870) 226-6580
- Fax
- (870) 226-6554
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy S Harton, MD
- Title
- Owner
- Phone
- (870) 226-6580
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3166 | AR | Primary |
Addresses
Primary practice location
614 N Martin St
Warren, AR 71671-1904
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C908 | Other | AR | BLUE CROSS OF AR |
| 150670002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Cassville, MO
- NPI 1215937537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1013917780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 N MARTIN ST",
"city": "WARREN",
"state": "AR",
"postal_code": "716711904",
"telephone_number": "870-226-6580",
"fax_number": "870-226-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTON MEDICAL CLINIC PLLC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "HARTON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-226-6580",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "E3166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AR",
"identifier": "5C908",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150670002",
"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 29, 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.