Debra Faulkner

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

DEBRA FAULKNER

Practice address

532 W Faulkner St
El Dorado, AR 71730-4519

Phone

(870) 862-2000

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Debra Kay Faulkner, R.T.

Title

Owner

Phone

(870) 862-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Port X Medical Services Doing business as

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140983710",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port X Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie D Davis, LCSW
• Frances Louise Davis, O.D.
• Nicole Davis
• Steven Robert Davis, CRNA
• Dayspring Services of Arkansas LLC
• Debra Faulkner
• Jacob A Defee, LPC
• Peggy A Defoure
• Joseph A Deluca, MD
• Richard Edward Dietzen, M.D.

• Mobile Radiology Clinic/Center in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Mobile Radiology Clinic/Center in Arkansas

• 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.