Active NPI
Michael G Kemp, MD
- Family Medicine Physician
- Alma, AR
National Provider Identifier
1215926688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1732
- Practice address
- 937 Highway 64 E
Alma, AR 72921-7382 - Phone
- (479) 632-3855
- Fax
- (479) 709-7443
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1732 | AR | Primary |
Addresses
Primary practice location
937 Highway 64 E
Alma, AR 72921-7382
Mailing address
PO Box 402319
Atlanta, GA 30384-2319
Phone (479) 709-7399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111884001 | Medicaid | AR | |
| 100253330B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1732 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Regional Medical Center | Past | Accepting new patients | |
| Fort Smith Hma, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1578555736
-
- Skilled Nursing Facility
- Fort Smith, AR
- NPI 1992916308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1215926688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402319",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303842319",
"telephone_number": "479-709-7399",
"fax_number": "479-709-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 HIGHWAY 64 E",
"city": "ALMA",
"state": "AR",
"postal_code": "729217382",
"telephone_number": "479-632-3855",
"fax_number": "479-709-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E1732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111884001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253330B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alma, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.