Organization Active NPI

Paul Becton, Jr, MD, PA

  • Obstetrics & Gynecology Physician
  • Paragould, AR
National Provider Identifier
1235327867
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C5756 Issued in AR
Legal business name
PAUL BECTON, JR, MD, PA
Practice address
1000 W Kingshighway Ste 6
Paragould, AR 72450-4197
Phone
(870) 236-9988
Fax
(870) 236-9994
NPI assigned
Oct 9, 2007
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Melissa L Lands
Title
Office Manager
Phone
(870) 236-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C5756 AR Primary

Addresses

Primary practice location

1000 W Kingshighway Ste 6
Paragould, AR 72450-4197

Mailing address

1000 W Kingshighway Ste 6
Paragould, AR 72450-4197
Phone (870) 236-9988

Other identifiers 1

IdentifierTypeStateIssuer
101350001MedicaidAR

National Provider Directory

National Provider Directory

Locations

1000 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 236-7272

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1235327867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 6",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-9988",
            "fax_number": "870-236-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 6",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-236-9988",
            "fax_number": "870-236-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BECTON, JR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "LANDS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-236-9988"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C5756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101350001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.