Individual provider Active NPI

James Edward Thomas, M.D.

  • Neurology Physician
  • Benton, AR
National Provider Identifier
1174672356
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E2010 Issued in AR
Practice address
1000 Hwy 35 N.
Suite 5
Benton, AR 72019-2351
Phone
(501) 315-1117
Fax
(501) 315-2408
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E2010 AR Primary

Addresses

Primary practice location

1000 Hwy 35 N.
Suite 5
Benton, AR 72019-2351

Mailing address

1000 Hwy 35 N.
Suite 5
Benton, AR 72019-2351
Phone (501) 315-1117

Other identifiers 5

IdentifierTypeStateIssuer
5L029G428OtherPTAN
18328000000OtherQUALCHOICE
7115035OtherARAETNA
124224001MedicaidAR
130021238OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000036 AR Practitioner - Neurology 0749323509 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2010ARMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital, LLC CurrentSince Nov 1, 2018 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Nov 1, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Nov 1, 2018 Accepting new patients
Arkansas Healthcare Services LLC Neurology CurrentSince Mar 1, 2020 Accepting new patients

Locations

1000 Highway 35 N
Ste 5
Benton, AR 72019
Phone (501) 315-1117

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1174672356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HWY 35 N.",
            "address_2": "SUITE 5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-1117",
            "fax_number": "501-315-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HWY 35 N.",
            "address_2": "SUITE 5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-1117",
            "fax_number": "501-315-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5L029G428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18328000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7115035",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124224001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130021238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.