Organization Active NPI

Stephen R. Maes, M.D., P.a.

  • Internal Medicine Physician
  • Harrison, AR
National Provider Identifier
1134242191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C8283 Issued in AR
Legal business name
STEPHEN R. MAES, M.D., P.A.
Practice address
825 N Spring St
Suite F
Harrison, AR 72601-2942
Phone
(870) 741-8800
Fax
(870) 741-4545
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen R. Maes, M.D.
Title
Physician Owner
Phone
(870) 741-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C8283 AR Primary

Addresses

Primary practice location

825 N Spring St
Suite F
Harrison, AR 72601-2942

Mailing address

825 N Spring St
Suite F
Harrison, AR 72601-2942
Phone (870) 741-8800

Other identifiers 1

IdentifierTypeStateIssuer
MC-2241OtherARCORP MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

825 N Spring St
Ste F
Harrison, AR 72601
Phone (870) 741-8800

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134242191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N SPRING ST",
            "address_2": "SUITE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012942",
            "telephone_number": "870-741-8800",
            "fax_number": "870-741-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N SPRING ST",
            "address_2": "SUITE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012942",
            "telephone_number": "870-741-8800",
            "fax_number": "870-741-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. MAES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "870-741-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C8283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP MEDICAL LICENSE",
            "identifier": "MC-2241",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.