Phomakay Primary Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-6214 Issued in AR

Legal business name

PHOMAKAY PRIMARY CARE PA

Practice address

10301 Mayo Dr
Barling, AR 72923-1660

Phone

(479) 782-5500

Fax

(479) 782-5502

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Chansamone M Phomakay, MD

Title

Owner

Phone

(479) 782-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1124466701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10154",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170154",
            "telephone_number": "479-782-5500",
            "fax_number": "479-782-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 MAYO DR",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729231660",
            "telephone_number": "479-782-5500",
            "fax_number": "479-782-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOMAKAY PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "PHOMAKAY",
        "authorized_official_first_name": "CHANSAMONE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-782-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Peters
• Elizabeth Peters, MHPP
• Rhonda Gail Peters, RN
• Robert L Petty Jr., MHPP
• Rebecca Pfeiffer
• Joseph Piroutek
• Robby Plymale, MHPP
• Sondra D Posey
• Christen Price
• Karrie Price

• Family Medicine Physician in Barling, AR
• Providers in Barling, 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 Nov 27, 2013; 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.