Majestic Pediatric and Adolescent Acute Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAJESTIC PEDIATRIC AND ADOLESCENT ACUTE CARE

Practice address

103 W Waterman St
Dumas, AR 71639-2139

Phone

(501) 533-9320

NPI assigned

Feb 3, 2021

Last updated

Apr 26, 2021By 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

Nicole Garth, APRN

Title

Owner/Provider

Phone

(501) 533-9320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1265023030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W WATERMAN ST",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392139",
            "telephone_number": "501-533-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PEDIATRIC AND ADOLESCENT ACUTE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "GARTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "501-533-9320",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas M Lowman, NP
• Shamim A Malik, M.D.
• Melissa Mankin, RN
• Marillac Community Health Centers (DePaul Community Health Centers - Dumas)
• Maxus
• Maxus Inc. (Arkansas Counseling Associates)

• Pediatrics Physician in Dumas, AR
• Providers in Dumas, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.