Organization Active NPI

Nwa Surgeon Investors, LLC

Doing business as Physicians' MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1144414335
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NWA SURGEON INVESTORS, LLC
Doing business as
Physicians' MRI
Practice address
3873 N Parkview Dr
Suite 2
Fayetteville, AR 72703-6286
Phone
(479) 521-5100
Fax
(479) 521-5101
NPI assigned
Aug 30, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
James B Blankenship, M.D.
Title
Owner
Phone
(479) 521-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

3873 N Parkview Dr
Suite 2
Fayetteville, AR 72703-6286

Mailing address

3873 N Parkview Dr
Suite 2
Fayetteville, AR 72703-6286
Phone (479) 521-5100

Other names 1

  • Physicians' MRI Doing business as

National Provider Directory

National Provider Directory

Locations

3873 N Parkview Dr
Ste 2
Fayetteville, AR 72703
Phone (479) 521-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1144414335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3873 N PARKVIEW DR",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-521-5100",
            "fax_number": "479-521-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3873 N PARKVIEW DR",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036286",
            "telephone_number": "479-521-5100",
            "fax_number": "479-521-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA SURGEON INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-521-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians' MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.