Paragould Pathology PA, Daps PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PARAGOULD PATHOLOGY PA, DAPS PA

Practice address

900 W Kingshighway
Paragould, AR 72450-5942

Phone

(870) 930-3518

Fax

(870) 930-3569

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwight Franklin Boggs, M.D.NPI 1114953957

Title

President

Phone

(870) 930-3518

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Franklin Boggs, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jonesboro, AR
  • NPI 1114953957
  Authorized official Same address or phone

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295755064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724030668",
            "telephone_number": "870-930-3518",
            "fax_number": "870-930-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-930-3518",
            "fax_number": "870-930-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGOULD PATHOLOGY PA, DAPS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-930-3518",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PROVIDER #",
            "identifier": "P00049060",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "5B250",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paragould Eyes & Aesthetics
• Paragould Family Care, P. a.
• Paragould Family Vision PLLC (Progressive Eye Center of Paragould)
• Paragould GH Operations LLC (Belle Meade, a Rehabilitation and Resident Care Facility)
• Paragould Obstetrics and Gynecology, PLLC
• Paragould Pediatrics, PLLC
• Paragould Pharmacy Inc
• Paragould Radiology PA
• Paragould School District
• Paragould Therapies, PLC

• Anatomic Pathology & Clinical Pathology Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Anatomic Pathology & Clinical Pathology 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.