Organization Active NPI

Joe Abrams, MD PA

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1295868263
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C4794 Issued in AR
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

Updated by the provider on Jun 13, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
102551001MedicaidAR
50012OtherARBLUE CROSSBLUE SHIELD
4561544OtherARAETNA ID
111790000-00OtherARQUALCHOICE

Other names 1

  • FAMILY DOCTORS CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.