Frank G Thibault MD, PA

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

FRANK G THIBAULT MD, PA

Practice address

910 N East St
Benton, AR 72015-3327

Phone

(501) 315-7774

Fax

(501) 315-7772

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Frank G Thibault, MD

Title

Owner

Phone

(501) 315-7774

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1023233012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N EAST ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153327",
            "telephone_number": "501-315-7774",
            "fax_number": "501-315-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N EAST ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153327",
            "telephone_number": "501-315-7774",
            "fax_number": "501-315-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK G THIBAULT MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "THIBAULT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-315-7774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105455001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC SUBMITTER",
            "identifier": "E2094",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Fowler
• Pam Fowler, LPN
• Shantaja Simone Moneak Francie
• Karen Francis
• Whitney Francis, COTA
• Kelsey Franklin
• Stewart Franks, RECOVERY ADVOCATE
• Kendal Frazier, PT, DPT
• Madison Frazier
• Michael Frazier

• Obstetrics Physician in Benton, AR
• Providers in Benton, AR by specialty
• Obstetrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.