Family Medical Walk-in Clinic PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAMILY MEDICAL WALK-IN CLINIC PA

Doing business as

SPRINGDALE FAMILY MEDICAL WALK-IN CLINIC

Practice address

1306 S Pleasant St
Springdale, AR 72764-6223

Phone

(855) 707-5550

NPI assigned

Oct 14, 2010

Organization subpart

Yes

Parent organization

FAMILY MEDICAL WALK-IN CLINIC PAAs reported in NPPES

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

Authorized official

Name

Dr. Daniel J. Burke, D.O.

Title

Owner/Medical Director

Phone

(417) 890-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPRINGDALE FAMILY MEDICAL WALK-IN CLINIC Doing business as

Part of

Family Medical Walk-in Clinic PA

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1194035956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075303",
            "telephone_number": "417-890-5550",
            "fax_number": "417-889-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S PLEASANT ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646223",
            "telephone_number": "855-707-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL WALK-IN CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICAL WALK-IN CLINIC PA",
        "enumeration_date": "2010-10-14",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "417-890-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186130002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGDALE FAMILY MEDICAL WALK-IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Gibson Ewing, LSW
• Susan L Ezell, APRN
• Edith Areli Fairchild, PT
• Faith Family Dental
• Brenda Jo Fallen
• Robert Edwin Farrah, P.T.
• Kinley Brooke Farriester
• Jessica Fatel
• Robin Faumuina, MD
• Christina Favazza

• Urgent Care Clinic/Center in Springdale, AR
• Providers in Springdale, AR by specialty
• Urgent Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.