NPIMap

Organization Active NPI

Debra Faulkner

Doing business as Port X Medical Services

  • Mobile Radiology Clinic/Center
  • El Dorado, AR
National Provider Identifier
1225217243
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
DEBRA FAULKNER
Doing business as
Port X Medical Services
Practice address
532 W Faulkner St
El Dorado, AR 71730-4519
Phone
(870) 862-2000
NPI assigned
Oct 26, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Debra Kay Faulkner, R.T.NPI 1275529893
Title
Owner
Phone
(870) 862-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

532 W Faulkner St
El Dorado, AR 71730-4519

Mailing address

532 W Faulkner St
El Dorado, AR 71730-4519
Phone (870) 862-2000

Other names 1

  • Port X Medical Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1225217243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304519",
            "telephone_number": "870-862-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304519",
            "telephone_number": "870-862-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA FAULKNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-862-2000",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port X Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.