NPIMap

Organization Active NPI

Saline Women's Group

  • Obstetrics & Gynecology Physician
  • Benton, AR
National Provider Identifier
1083690523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E4589 Issued in AR
Legal business name
SALINE WOMEN'S GROUP
Practice address
5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729
Phone
(501) 778-1000
Fax
(501) 778-1010
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony E Daniels, MDNPI 1326072901
Title
President
Phone
(501) 778-1000

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E4589 AR Primary

Addresses

Primary practice location

5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729

Mailing address

5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729
Phone (501) 778-1000

Other identifiers 1

IdentifierTypeStateIssuer
5N476OtherARBCBS

Other names 1

  • New Business Other name

National Provider Directory

National Provider Directory
Tax ID family
Blytheville Women's Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083690523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE GL2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-1000",
            "fax_number": "501-778-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE GL2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-1000",
            "fax_number": "501-778-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE WOMEN'S GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-778-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E4589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N476",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Business",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.