NPIMap

Organization Active NPI

JPC Medical Inc

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1114974615
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3472 Issued in AR
Legal business name
JPC MEDICAL INC
Practice address
1300 W. Court St.
Paragould, AR 72450-4247
Phone
(870) 236-4100
Fax
(870) 236-4122
NPI assigned
May 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John Raymond Hines, D.O.
Title
Ceo
Phone
(870) 236-4100

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E3472 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1300 W. Court St.
Paragould, AR 72450-4247

Mailing address

1300 W. Court St.
Paragould, AR 72450-4247
Phone (870) 236-4100

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
5F554OtherARMEDICARE GROUP NUMBER
166393004MedicaidAR
5F554OtherARBLUE CROSS BLUE SHIELD

Other names 1

NPPES NPI Registry
  • HINES FAMILY MEDICINE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2011.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1114974615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W. COURT ST.",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. COURT ST.",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-236-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5F554",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166393004",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5F554",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINES FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.