Active NPI
Joe Abrams, MD PA
- Family Medicine Physician
- Cabot, AR
National Provider Identifier
1295868263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C4794
- Legal business name
- JOE ABRAMS, MD PA
- Practice address
- 105 N Jackson St
Cabot, AR 72023-3058 - Phone
- (501) 843-6528
- Fax
- (501) 843-0144
- NPI assigned
- Mar 13, 2007
- 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
- Dr. Joe A Abrams, M.D.
- Title
- Owner
- Phone
- (501) 843-6528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C4794 | AR | Primary |
Addresses
Primary practice location
105 N Jackson St
Cabot, AR 72023-3058
Mailing address
PO Box 1330
Cabot, AR 72023-1330
Phone (501) 843-6528
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102551001 | Medicaid | AR | |
| 50012 | Other | AR | BLUE CROSSBLUE SHIELD |
| 4561544 | Other | AR | AETNA ID |
| 111790000-00 | Other | AR | QUALCHOICE |
Other names 1
- FAMILY DOCTORS CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1295868263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "CABOT",
"state": "AR",
"postal_code": "720231330",
"telephone_number": "501-843-6528",
"fax_number": "501-843-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N JACKSON ST",
"city": "CABOT",
"state": "AR",
"postal_code": "720233058",
"telephone_number": "501-843-6528",
"fax_number": "501-843-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOE ABRAMS, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "ABRAMS",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-843-6528",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "C4794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102551001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "50012",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "4561544",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "111790000-00",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY DOCTORS CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.