Harrison Family Practice Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HARRISON FAMILY PRACTICE CLINIC, PA

Practice address

715 W Sherman Ave
Suite G
Harrison, AR 72601-2743

Phone

(870) 741-8247

Fax

(870) 741-3933

NPI assigned

Feb 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahlon Ogden Maris, M.D.NPI 1275508061

Title

Owner

Phone

(870) 741-8247

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Mahlon Ogden Maris, M. D.

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1275508061
  Authorized official Same address or phone
• Amanda Chitsey, APN

  • Nurse Practitioner
  • Harrison, AR
  • NPI 1265401160
  NPD (past)
• James M Hawk, M.D.

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1326028440
  NPD (past)
• Elizabeth Sue Ross Chambers, M.D.

  • Pediatrics Physician
  • Harrison, AR
  • NPI 1629044672
  NPD (past)
• Elisabeth M Bishop, M.D.

  • Internal Medicine Physician
  • Santa Fe, NM
  • NPI 1265486112
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093781825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1597",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726021597",
            "telephone_number": "870-741-8247",
            "fax_number": "870-741-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE G",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-8247",
            "fax_number": "870-741-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILY PRACTICE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "MAHLON",
        "authorized_official_middle_name": "OGDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-741-8247",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SOURCE",
            "identifier": "1028",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101276002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsia Danielle Harris, MSN, APN, FNP-BC
• Stephen Robert Harris, PHD
• Harrison Cardology Clinic, P a
• Harrison Dialysis LLC
• Harrison Family Practice Clinic
• Harrison Healthcare LLC
• Harrison Mediquick PA
• Harrison Pediatrics
• Harrison Physical Therapy, Inc.
• Harrison Retirement Center

• Family Medicine Physician in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Medicine Physician in Arkansas

• 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.