NPIMap

Organization Active NPI

Thomas Neurology Clinic PA

  • Medical Specialty Clinic/Center
  • Benton, AR
National Provider Identifier
1366773798
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E2010 Issued in AR
Legal business name
THOMAS NEUROLOGY CLINIC PA
Practice address
1000 Highway 35 N
Suite 5
Benton, AR 72019-2351
Phone
(501) 315-1117
Fax
(501) 315-2408
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. James Edward Thomas, MD
Title
Owner/President
Phone
(501) 315-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E2010 AR Primary

Addresses

Primary practice location

1000 Highway 35 N
Suite 5
Benton, AR 72019-2351

Mailing address

1000 Highway 35 N
Suite 5
Benton, AR 72019-2351
Phone (501) 315-1117

Other identifiers 5

IdentifierTypeStateIssuer
124224001MedicaidAR
5G428OtherPTAN
7115035OtherAETNA
18328000000OtherQUALCHOICE
DP8413OtherARRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1000 Highway 35 N
Ste 5
Benton, AR 72019
Phone (501) 315-1117

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1366773798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N",
            "address_2": "SUITE 5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-1117",
            "fax_number": "501-315-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N",
            "address_2": "SUITE 5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-1117",
            "fax_number": "501-315-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS NEUROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-315-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "E2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124224001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5G428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7115035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18328000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP8413",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.