NPIMap

Organization Active NPI

Jeffrey L Tate MD PA

  • Adult Mental Health Clinic/Center
  • Rogers, AR
National Provider Identifier
1275877425
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
N8345 Issued in AR
Legal business name
JEFFREY L TATE MD PA
Practice address
5311 Village Pkwy
Rogers, AR 72758-8102
Phone
(479) 271-6511
Fax
(479) 271-6518
NPI assigned
Nov 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Jeffrey Lewis Tate, M.D.
Title
President
Phone
(479) 271-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X N8345 AR Primary

Addresses

Primary practice location

5311 Village Pkwy
Rogers, AR 72758-8102

Mailing address

5311 Village Pkwy
Rogers, AR 72758-8102
Phone (479) 271-6511

Other names 1

  • Tate Healthcare Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

5311 W Village Pkwy
Rogers, AR 72758
Phone (479) 271-6511

Practitioners & affiliated clinicians

Practitioners 6

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": "1352592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275877425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588102",
            "telephone_number": "479-271-6511",
            "fax_number": "479-271-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588102",
            "telephone_number": "479-271-6511",
            "fax_number": "479-271-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L TATE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-11",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-271-6511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "N8345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tate Healthcare Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.