Organization Active NPI

Thomas W Atkinson MD PA

  • Internal Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1265066955
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS W ATKINSON MD PA
Practice address
1670 East Joyce Blvd Suite 2
Fayetteville, AR 72703-0030
Phone
(479) 582-5905
Fax
(479) 582-5908
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Thomas W Atkinson, MD
Title
Owner
Phone
(479) 582-5905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1670 East Joyce Blvd Suite 2
Fayetteville, AR 72703-0030

Mailing address

PO Box 9690
Fayetteville, AR 72703-0030
Phone (479) 582-5905

Other identifiers 1

IdentifierTypeStateIssuer
110911001MedicaidAR

National Provider Directory

National Provider Directory

Locations

1670 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 582-5905

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": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1265066955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9690",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030030",
            "telephone_number": "479-582-5905",
            "fax_number": "479-582-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 EAST JOYCE BLVD SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030030",
            "telephone_number": "479-582-5905",
            "fax_number": "479-582-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W ATKINSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-582-5905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110911001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.