Medworks LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

N7877 Issued in AR

Legal business name

MEDWORKS LLC

Doing business as

Arkansas Medical Clinic

Practice address

986 Elmwood
Suite C
Springdale, AR 72762

Phone

(479) 966-4999

Fax

(479) 966-4987

NPI assigned

Apr 13, 2017

Last updated

Apr 13, 2017By 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

Shirranna M Todd, BA

Title

Operator

Phone

(479) 966-4999

Specialties & licenses 2

Addresses

Other names 1

• Arkansas Medical Clinic Doing business as

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1306370630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 ELMWOOD",
            "address_2": "SUITE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 ELMWOOD",
            "address_2": "SUITE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "SHIRRANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "479-966-4999",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E2474",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "N7877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.