Organization Active NPI

Silver Birch LLC

  • Family Medicine Physician
  • Eureka Springs, AR
National Provider Identifier
1306462338
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SILVER BIRCH LLC
Practice address
4052 E Van Buren Ste a
Eureka Springs, AR 72632-9328
Phone
(571) 232-6354
NPI assigned
Jun 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Christopher Stephen Baranyk, D.O.
Title
Physician
Phone
(571) 232-6354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4052 E Van Buren Ste a
Eureka Springs, AR 72632-9328

Mailing address

4052 E Van Buren Ste a
Eureka Springs, AR 72632-9328
Phone (571) 232-6354

Other identifiers 1

IdentifierTypeStateIssuer
211181003MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1306462338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE A",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "571-232-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE A",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "571-232-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BIRCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "BARANYK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "571-232-6354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211181003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.