University of Arkansas for Medical Sciences

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Doing business as

Justiss Lindsey Clinic AHEC

Practice address

1222 W 42ND St
Pine Bluff, AR 71603

Phone

(870) 535-1819

Fax

(870) 534-3340

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Wylie

Title

Office Manager

Phone

(870) 541-6008

Specialties & licenses 1

Addresses

Other names 1

• Justiss Lindsey Clinic AHEC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith G Bennett, MD

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1427085075
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275569758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-541-6008",
            "fax_number": "870-541-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W 42ND ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-535-1819",
            "fax_number": "870-534-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-541-6008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justiss Lindsey Clinic AHEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cainna Tyson, BA
• Uhs of Benton, Inc. (Rivendell Behavioral Health Services of Arkansas)
• Univ of Ark for Med Sciences Dba Ahec Family Practice Center Indep Lab
• University of Arkansas at Pine Bluff (UAPB Sports Medicine and Rehabilitation)
• University of Arkansas for Medical Sciences (Kids First Pine Bluff)
• University of Arkansas for Medical Sciences
• University of Arkansas Medical Sciences, Ahec Pine Bluff
• Ryan Arvin Vegafria Urbano, RPT
• Urology Associates of South Arkansas
• Chizoba Usuwa, MD

• Family Medicine Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Medicine Physician in Arkansas

• 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.

Verify at the official NPI Registry.