NPIMap

Organization Active NPI

Medical Park Podiatry Clinic

  • General Acute Care Hospital
  • Hope, AR
National Provider Identifier
1104076264
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
AR4348 Issued in AR
Legal business name
MEDICAL PARK PODIATRY CLINIC
Practice address
2001 S Main St
Hope, AR 71801-8124
Phone
(870) 722-2416
NPI assigned
Sep 25, 2008
Organization subpart
Yes
Parent organization
SIGNATURE MEDICAL PARK HOSPITAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Ted Cheek
Title
Chief Executive Officer
Phone
(870) 722-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AR4348 AR Primary

Addresses

Primary practice location

2001 S Main St
Hope, AR 71801-8124

Mailing address

2001 S Main St
Hope, AR 71801-8124
Phone (870) 722-2416

Other identifiers 2

IdentifierTypeStateIssuer
160081105MedicaidAR
10091OtherARBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Signature Medical Park Hospital L L C3 organizations share this tax ID, including this one
Part of
Signature Medical Park Hospital L L C

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1104076264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018124",
            "telephone_number": "870-722-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018124",
            "telephone_number": "870-722-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PODIATRY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE MEDICAL PARK HOSPITAL, LLC",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-722-2402"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160081105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10091",
            "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 Sep 25, 2008; 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.