NPIMap

Organization Active NPI

Baxter County Regional Hospital

  • Orthopaedic Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1255501706
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
AR3827 Issued in AR
Legal business name
BAXTER COUNTY REGIONAL HOSPITAL
Doing business as
D/B/A BAXTER REGIONAL ORTHOPAEDIC CLINIC
Practice address
310 Buttercup Dr
Suite a
Mountain Home, AR 72653-2921
Phone
(870) 424-3642
Fax
(870) 424-3712
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Debra Henry
Title
Cfo
Phone
(870) 508-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X AR3827 AR Primary

Addresses

Primary practice location

310 Buttercup Dr
Suite a
Mountain Home, AR 72653-2921

Mailing address

310 Buttercup Dr
Suite a
Mountain Home, AR 72653-2921
Phone (870) 424-3642

Other names 1

  • D/B/A BAXTER REGIONAL ORTHOPAEDIC CLINIC 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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1255501706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR",
            "address_2": "SUITE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532921",
            "telephone_number": "870-424-3642",
            "fax_number": "870-424-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BUTTERCUP DR",
            "address_2": "SUITE A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532921",
            "telephone_number": "870-424-3642",
            "fax_number": "870-424-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER COUNTY REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-508-1003"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "AR3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A BAXTER REGIONAL ORTHOPAEDIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.