Organization Active NPI

Hope Internal Medicine, Stan Collins, MD PA

  • Medical Specialty Clinic/Center
  • Hope, AR
National Provider Identifier
1073800926
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
C7070 Issued in AR
Legal business name
HOPE INTERNAL MEDICINE, STAN COLLINS, MD PA
Practice address
114 Medical Park Dr
Hope, AR 71801-8100
Phone
(870) 722-6677
Fax
(870) 722-6641
NPI assigned
Jun 29, 2011
Last updated
Jun 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Dr. Stanley R Collins, M.D.
Title
Owner
Phone
(870) 722-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C7070 AR Primary

Addresses

Primary practice location

114 Medical Park Dr
Hope, AR 71801-8100

Mailing address

114 Medical Park Dr
Hope, AR 71801-8100
Phone (870) 722-6677

Other identifiers 1

IdentifierTypeStateIssuer
113892001MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1073800926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MEDICAL PARK DR",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018100",
            "telephone_number": "870-722-6677",
            "fax_number": "870-722-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MEDICAL PARK DR",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018100",
            "telephone_number": "870-722-6677",
            "fax_number": "870-722-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE INTERNAL MEDICINE, STAN COLLINS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-722-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "C7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113892001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.