Organization Active NPI

Ozarks Primary Care Plus

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1033927546
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OZARKS PRIMARY CARE PLUS
Practice address
8703 W Migration Way
Bentonville, AR 72713-2162
Phone
(479) 685-9809
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Samantha ChaligojNPI 1962875054
Title
Owner
Phone
(479) 685-9809

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8703 W Migration Way
Bentonville, AR 72713-2162

Mailing address

8703 W Migration Way
Bentonville, AR 72713-2162
Phone (479) 685-9809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250210000013 AR Part B Supplier - Clinic/Group Practice 7012447808 Receives reassigned benefits from 2 practitioners
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1033927546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 W MIGRATION WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132162",
            "telephone_number": "479-685-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 W MIGRATION WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132162",
            "telephone_number": "479-685-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS PRIMARY CARE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "CHALIGOJ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-685-9809"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.