NPIMap

Organization Active NPI

CR Doc,PLLC

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1285777029
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5380 Issued in AR
Legal business name
CR DOC,PLLC
Practice address
2700 W Kingshighway
Suite 4
Paragould, AR 72450-2601
Phone
(870) 239-3600
Fax
(870) 240-0643
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Roger Earl Cagle, M.D.
Title
Owner
Phone
(870) 239-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C5380 AR Primary

Addresses

Primary practice location

2700 W Kingshighway
Suite 4
Paragould, AR 72450-2601

Mailing address

2700 W Kingshighway
Suite 4
Paragould, AR 72450-2601
Phone (870) 239-3600

Other identifiers 1

IdentifierTypeStateIssuer
5C936OtherARABCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1285777029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W KINGSHIGHWAY",
            "address_2": "SUITE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502601",
            "telephone_number": "870-239-3600",
            "fax_number": "870-240-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W KINGSHIGHWAY",
            "address_2": "SUITE 4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502601",
            "telephone_number": "870-239-3600",
            "fax_number": "870-240-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR DOC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-239-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS PROVIDER NUMBER",
            "identifier": "5C936",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.