Physical Medicine & Rehabilitation Associates of NW Ar PA

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

MC-1930 Issued in AR

Legal business name

PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA

Practice address

2054 S 54TH St
Rogers, AR 72758-8196

Phone

(479) 246-9002

Fax

(479) 246-9005

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Borian B Matinchev, M.D.NPI 1336244466

Title

President

Phone

(479) 246-9002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Borian Boris Matinchev, M.D.

  • Specialist
  • Rogers, AR
  • NPI 1336244466
  Medicare reassignment NPD Authorized official
• Tammie Michelle Smith, ACNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
  • NPI 1255546974
  Medicare reassignment NPD
• Maria Del Carmen Matinchev, M.D.

  • Internal Medicine Physician
  • Rogers, AR
  • NPI 1669796033
  NPD (past)
• Kenneth L Ubben, M.D.

  • Specialist
  • Bella Vista, AR
  • NPI 1326099136
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1174777874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588196",
            "telephone_number": "479-246-9002",
            "fax_number": "479-246-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588196",
            "telephone_number": "479-246-9002",
            "fax_number": "479-246-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "MATINCHEV",
        "authorized_official_first_name": "BORIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-246-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "AR",
            "license": "MC-1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Platt, D.D.S, PLLC
• Ashton Phillips
• Christopher Devin Phillips
• Colin Scott Phillips, PA-C
• Sarah Leighann Phillips, LCSW
• John Randall Pinkerton, RPH
• Pinnacle Anesthesia Group, PLLC
• Pinnacle Car Services, Inc.
• Pinnacle Chiropractic & Family Wellness
• Pinnacle Neck & Back

• Rehabilitation Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Rehabilitation Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.