Active NPI
Thomas W Atkinson MD PA
- Internal Medicine Physician
- Fayetteville, AR
National Provider Identifier
1265066955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110911001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.