Paul F Whipple,D.O.,P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R-4516 Issued in AR

Legal business name

PAUL F WHIPPLE,D.O.,P.A.

Practice address

557 Kirkwood Rd
Star City, AR 71667-8843

Phone

(870) 628-5391

Fax

(870) 629-5393

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Paul Frederick Whipple, D.O.

Title

Physician

Phone

(870) 628-5391

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1225368830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 KIRKWOOD RD",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716678843",
            "telephone_number": "870-628-5391",
            "fax_number": "870-629-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 KIRKWOOD RD",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716678843",
            "telephone_number": "870-628-5391",
            "fax_number": "870-629-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F WHIPPLE,D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-628-5391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R-4516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124036003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.