NPIMap

Organization Active NPI

S & R Clinic, PA

Doing business as Troxel Medical Clinic

  • Primary Care Clinic/Center
  • Walnut Ridge, AR
National Provider Identifier
1356480818
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C8313 Issued in AR
Legal business name
S & R CLINIC, PA
Doing business as
Troxel Medical Clinic
Practice address
1045 W Main
Suite C
Walnut Ridge, AR 72476
Phone
(870) 886-8300
Fax
(870) 886-8302
NPI assigned
Feb 5, 2007
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Roger Lee Troxel, M.D.NPI 1669575569
Title
President
Phone
(870) 886-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C8313 AR Primary

Addresses

Primary practice location

1045 W Main
Suite C
Walnut Ridge, AR 72476

Mailing address

PO Box 777
Walnut Ridge, AR 72476-0777
Phone (870) 886-8300

Other names 1

  • Troxel Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111227000646 AR Part B Supplier - Clinic/Group Practice 0547436487 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

1045 W Main St
#C
Walnut Ridge, AR 72476
Phone (870) 886-8300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1356480818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724760777",
            "telephone_number": "870-886-8300",
            "fax_number": "870-886-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W MAIN",
            "address_2": "SUITE C",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "72476",
            "telephone_number": "870-886-8300",
            "fax_number": "870-886-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "TROXEL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-886-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "C8313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troxel Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Ridge, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.