Pultro & Palmer, P. a.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A151 Issued in AR

Legal business name

PULTRO & PALMER, P. A.

Practice address

200 N Quanah Ave
Russellville, AR 72801-2762

Phone

(479) 968-7250

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By 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

Dr. Charles Palmer, AUD.NPI 1831214972

Title

Audiologist

Phone

(479) 968-7250

Specialties & licenses 1

Addresses

Tax ID family

Pultro and Palmer PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pultro and Palmer, P.a.

  • Audiologist
  • Little Rock, AR
  • NPI 1669581526
  NPD tax ID

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.

• Charles Palmer, AU.D.

  • Audiologist
  • Russellville, AR
  • NPI 1831214972
  Authorized official Same address or phone

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1316106727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 405",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N QUANAH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012762",
            "telephone_number": "479-968-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULTRO & PALMER, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "479-968-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "A151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charise Pruitt, CASE MANAGER PARAPRO
• Psychiatric Clinic PA
• Psychology Center of Russellville, LLC
• Judith Puckett
• Mary Annette Pugh, MD
• Dana Pumphrey, RBT
• Wendy Michelle Pyburn, APRN FNP-C
• Fauzia Qadir, MD
• Anthony Qualls
• Audreia Qualls

• Audiologist-Hearing Aid Fitter in Russellville, AR
• Providers in Russellville, AR by specialty
• Audiologist-Hearing Aid Fitter in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.