Epoch Health- Benton, PLLC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EPOCH HEALTH- BENTON, PLLC.

Practice address

5 Medical Park Dr
Benton, AR 72015-3729

Phone

(877) 321-8452

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Tamora Dawn Brown

Title

Authorized Official

Phone

(501) 626-7515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1033507439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "877-321-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH HEALTH- BENTON, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TAMORA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "501-626-7515"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Ellison, COTA/L
• Kelly Elrod, PHARMACY TECH.
• Marcus Elrod
• Annette M Enderlin, M.D.
• Precious Enowbawa
• Catherine Erwin, LPN
• Panfilo Estrada-Flores, APRN
• Amy Evans
• Brandi Evans
• Kody Evans, RECOVERY ASST

• General Practice Physician in Benton, AR
• Providers in Benton, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.