Mountain-Home Medical Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MC0049 Issued in AR

Legal business name

MOUNTAIN-HOME MEDICAL GROUP, PA

Practice address

353 East 8TH Street
Mountain Home, AR 72653

Phone

(870) 425-3125

Fax

(870) 424-5059

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maxwell G Cheney, MD

Title

Owner

Phone

(870) 425-3125

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mtn Home Medical Group PA Other name

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1225087398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1836",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541836",
            "telephone_number": "870-425-3125",
            "fax_number": "870-424-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 EAST 8TH STREET",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-3125",
            "fax_number": "870-424-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN-HOME MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-3125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC0049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "MC0049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101002002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mtn Home Medical Group PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mountain Home School District
• Mountain Home SNF Opco LLC (Lake Forest Senior Living at Mountain Home)
• Mountain Home Surgery Center
• Mountain Home Surgery Center, Inc.
• Mountain Home Urology, P.a.
• Chesley Hardin Murphy, MD
• Corinne Lee Murphy, PTA
• Wade Lee Murphy, D.D.S.
• Thomas Myers, PTA
• Myhealth Rapid Diagnostic LLC

• Internal Medicine Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.