Saline Physician Services, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SALINE PHYSICIAN SERVICES, LLC

Practice address

1 Medical Park Dr
Benton, AR 72015-3353

Phone

(501) 776-7130

Fax

(501) 776-6695

NPI assigned

Jul 9, 2006

Organization subpart

Yes

Parent organization

SALINE COUNTY MEDICAL SYSTEMAs reported in NPPES

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

Authorized official

Name

Kimberly A Titsworth

Title

Director, Physician Services

Phone

(501) 776-6093

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Saline Memorial Hospitalist Group Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1114950433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1635",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721451635",
            "telephone_number": "501-776-6252",
            "fax_number": "501-776-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-7130",
            "fax_number": "501-776-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINE COUNTY MEDICAL SYSTEM",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "TITSWORTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-776-6093"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158019002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5F357",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saline Memorial Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saline Memorial Hospital Technical Services LLC
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• Saline Orthopedic Group P a
• Saline Physician Services, LLC
• Saline Physician Services, LLC
• Saline Physician Services, LLC
• Saline Physician Services, LLC
• Saline Physician Services, LLC

• Hospitalist Physician in Benton, AR
• Providers in Benton, AR by specialty
• Hospitalist Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.