Active NPI
Delta Surgery
- Surgery Physician
- Dumas, AR
National Provider Identifier
1285867945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DELTA SURGERY
- Practice address
- 811 Highway 65 S
Dumas, AR 71639-3006 - Phone
- (870) 382-4303
- NPI assigned
- Aug 28, 2009
- 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
- Peter K.H. Go, M.D.
- Title
- Medical Doctor
- Phone
- (870) 382-1680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
811 Highway 65 S
Dumas, AR 71639-3006
Mailing address
105 Carlton Dr
Dumas, AR 71639-2836
Phone (870) 382-1680
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57660 | Other | AR | BLUE CROSS |
| 102107001 | Medicaid | AR | |
| 14161000001 | Other | AR | QUAL CHOICE |
National Provider Directory
National Provider DirectoryLocations
105 Carlton Dr
Dumas, AR 71639
Phone (870) 382-1680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251417600000",
"number": "1285867945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CARLTON DR",
"city": "DUMAS",
"state": "AR",
"postal_code": "716392836",
"telephone_number": "870-382-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 HIGHWAY 65 S",
"city": "DUMAS",
"state": "AR",
"postal_code": "716393006",
"telephone_number": "870-382-4303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A",
"authorized_official_last_name": "GO",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "K.H.",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "870-382-1680",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "57660",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102107001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "14161000001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dumas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.