Active NPI
Trumann Medical Clinic
- Family Medicine Physician
- Trumann, AR
National Provider Identifier
1033227749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E0989
- Legal business name
- TRUMANN MEDICAL CLINIC
- Practice address
- 417 W Main
Trumann, AR 72472 - Phone
- (870) 483-1025
- Fax
- (870) 483-1057
- NPI assigned
- Aug 25, 2006
- 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
- Mr. Trent Robert Lamb, MD
- Title
- Owner
- Phone
- (870) 483-1025
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 | E0989 | AR | Primary |
Addresses
Primary practice location
417 W Main
Trumann, AR 72472
Mailing address
417 W Main
Trumann, AR 72472
Phone (870) 483-1025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149879002 | Medicaid | AR | |
| 5F024 | Other | AR | BLUE CROSS BLUE SHIELD |
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
- Jonesboro, AR
- NPI 1144225020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1033227749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W MAIN",
"city": "TRUMANN",
"state": "AR",
"postal_code": "72472",
"telephone_number": "870-483-1025",
"fax_number": "870-483-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W MAIN",
"city": "TRUMANN",
"state": "AR",
"postal_code": "72472",
"telephone_number": "870-483-1025",
"fax_number": "870-483-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUMANN MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "LAMB",
"authorized_official_first_name": "TRENT",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-483-1025",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "E0989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149879002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5F024",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumann, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.