Batesville Family Practice Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MC1957 Issued in AR

Legal business name

BATESVILLE FAMILY PRACTICE CLINIC PA

Practice address

1215 Sidney St
Ste 300
Batesville, AR 72501-7201

Phone

(870) 793-1126

Fax

(870) 793-1180

NPI assigned

May 27, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Waldrip, M.D.

Title

President

Phone

(870) 793-1126

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154324796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SIDNEY ST",
            "address_2": "STE 300",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017201",
            "telephone_number": "870-793-1126",
            "fax_number": "870-793-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SIDNEY ST",
            "address_2": "STE 300",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017201",
            "telephone_number": "870-793-1126",
            "fax_number": "870-793-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATESVILLE FAMILY PRACTICE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDRIP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-793-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C281",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Batesville Cardiology PA
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• Batesville Drug Inc (Hons Sav on Drug)
• Batesville Endoscopy Center, LLC
• Batesville Eye Surgery Center Inc
• Batesville Health and Rehab, LLC
• Batesville Healthcare Center, LLC
• Batesville Healthcare LLC
• Batesville Hearing Center, PLLC
• Batesville Holdings LLC (Batesville Health and Rehab)

• Family Medicine Physician in Batesville, AR
• Providers in Batesville, 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 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.