Southwest Neurologicl Institute PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SOUTHWEST NEUROLOGICL INSTITUTE PA

Practice address

3011 Jenny Lind Rd
Fort Smith, AR 72901

Phone

(479) 784-9800

Fax

(479) 784-9817

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William L Griggs III, MD

Title

Owner

Phone

(479) 784-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1265688956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3890",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72913",
            "telephone_number": "479-784-9800",
            "fax_number": "479-784-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-784-9800",
            "fax_number": "479-784-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROLOGICL INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-784-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136522002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Southammavong
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• Southern Dental of Fort Smith PLLC
• Southside Medical Clinic
• Southside Specialty Pharmacy
• Southwest Neuroloigical Institute,PA
• Tracy Souza
• Amanda Leah Spahn, PA-C
• Christen C Spain, LMT
• Monita Spann, CSFA

• Neurology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.