Pro Physicians Arkansas PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

C6152 Issued in AR

Legal business name

PRO PHYSICIANS ARKANSAS PA

Practice address

2526 Pinnacle Hills Pkwy
Rogers, AR 72758-8939

Phone

(479) 271-8900

Fax

(479) 271-8950

NPI assigned

Jan 30, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon D Tryggestad

Title

Director/Officer

Phone

(972) 573-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1235401746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E JOHN CARPENTER FWY",
            "address_2": "SUITE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623990",
            "telephone_number": "972-573-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 PINNACLE HILLS PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588939",
            "telephone_number": "479-271-8900",
            "fax_number": "479-271-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICIANS ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "TRYGGESTAD",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "972-573-4611"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "C6152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Arkansas Medical P a (Nabholz Wellness Clinic)
• Kristy Lynn Prestridge, RPH
• John G. Price, MD
• Taylor N Price
• Jillian Prince, PT, DPT
• Professional Radiology Services, PA
• Progressive Rehabilitative Services, PLLC
• Prospera Healthcare Arkansas LLC
• Melinda Prynne
• Psyche Nwa LLC

• Radiation Oncology Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Radiation Oncology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.