Active NPI
Corporate MD, PLLC
- Occupational Medicine Clinic/Center
- Conway, AR
National Provider Identifier
1265440465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- MC-2506
- Legal business name
- CORPORATE MD, PLLC
- Practice address
- 505 Industrial Blvd
Suite 3
Conway, AR 72032-7825 - Phone
- (501) 328-5885
- Fax
- (501) 328-5886
- NPI assigned
- Aug 3, 2006
- 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
- Phillip S Stone, MD
- Title
- Owner
- Phone
- (501) 208-6088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | MC-2506 | AR | Primary |
Addresses
Primary practice location
505 Industrial Blvd
Suite 3
Conway, AR 72032-7825
Mailing address
505 Dave Ward Drive
Suite 3
Conway, AR 72032-7825
Phone (501) 328-5885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC-2506 | Other | AR | MEDICAL BOARD CERTIFICATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265440465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 DAVE WARD DRIVE",
"address_2": "SUITE 3",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327825",
"telephone_number": "501-328-5885",
"fax_number": "501-328-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 INDUSTRIAL BLVD",
"address_2": "SUITE 3",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327825",
"telephone_number": "501-328-5885",
"fax_number": "501-328-5886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPORATE MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-208-6088",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "AR",
"license": "MC-2506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD CERTIFICATE",
"identifier": "MC-2506",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.