NPIMap

Organization Active NPI

Central Arkansas Womens Clinic P.a.

  • Specialist
  • Benton, AR
National Provider Identifier
1124124391
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2226 Issued in AR
Legal business name
CENTRAL ARKANSAS WOMENS CLINIC P.A.
Practice address
910 North East Street
Ste 206
Benton, AR 72015
Phone
(501) 778-0427
Fax
(501) 778-5993
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mrs. Marcy L Lumpkins, CLINIC MANAGER
Title
Clinic Manager
Phone
(501) 778-0427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E2226 AR Primary

Addresses

Primary practice location

910 North East Street
Ste 206
Benton, AR 72015

Mailing address

PO Box 2577
Benton, AR 72018
Phone (501) 778-0427

Other identifiers 1

IdentifierTypeStateIssuer
150120002MedicaidAR

National Provider Directory

National Provider Directory

Locations

5 Medical Park Dr
Ste 206A
Benton, AR 72015
Phone (501) 778-0426

910 N East St
Ste 206
Benton, AR 72015
Phone (501) 778-0427

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1124124391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2577",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72018",
            "telephone_number": "501-778-0427",
            "fax_number": "501-778-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NORTH EAST STREET",
            "address_2": "STE 206",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-778-0427",
            "fax_number": "501-778-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS WOMENS CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "LUMPKINS",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-778-0427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLINIC MANAGER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150120002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 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.