NPIMap

Organization Active NPI

Sean D. Champion, MD, PA

  • Surgery Physician
  • Arkadelphia, AR
National Provider Identifier
1063715811
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SEAN D. CHAMPION, MD, PA
Practice address
303 Professional Park Dr
Arkadelphia, AR 71923-5317
Phone
(870) 403-1225
Fax
(870) 497-1655
NPI assigned
Dec 17, 2010
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Sean D. Champion, MDNPI 1538280011
Title
Physician/Owner
Phone
(870) 403-1225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

303 Professional Park Dr
Arkadelphia, AR 71923-5317

Mailing address

303 Professional Park Dr
Arkadelphia, AR 71923-5317
Phone (870) 403-1225

Other practice location 1

2913 Cypress Rd Ste 100
Arkadelphia, AR 71923-4251
Phone (870) 403-1225

Other practice location 2

1523 S Main St
Shattuck, OK 73858-9223
Phone (870) 403-1225

National Provider Directory

National Provider Directory

Locations

303 Professional Park Dr
Arkadelphia, AR 71923
Phone (870) 403-1225

1650 Main St
#A
Woodward, OK 73801
Phone (580) 571-8088

1650 Main St
Ste A
Woodward, OK 73801
Phone (580) 254-8182

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1063715811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PROFESSIONAL PARK DR",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235317",
            "telephone_number": "870-403-1225",
            "fax_number": "870-497-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PROFESSIONAL PARK DR",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235317",
            "telephone_number": "870-403-1225",
            "fax_number": "870-497-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Cypress Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arkadelphia",
            "state": "AR",
            "postal_code": "719234251",
            "country_code": "US",
            "telephone_number": "870-403-1225",
            "fax_number": "870-203-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 S Main St",
            "address_purpose": "LOCATION",
            "city": "Shattuck",
            "state": "OK",
            "postal_code": "738589223",
            "country_code": "US",
            "telephone_number": "870-403-1225",
            "fax_number": "870-203-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEAN D. CHAMPION, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "870-403-1225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.