Salem Family Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MC0433 Issued in AR

Legal business name

SALEM FAMILY CLINIC

Practice address

507 N Main St
Salem, AR 72576-9449

Phone

(870) 895-2541

Fax

(870) 895-2957

NPI assigned

Feb 27, 2006

Last updated

Dec 22, 2010By 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. Michael N Moody

Title

Medical Doctor

Phone

(870) 895-2541

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1376519454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760829",
            "telephone_number": "870-895-2541",
            "fax_number": "870-895-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769449",
            "telephone_number": "870-895-2541",
            "fax_number": "870-895-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "870-895-2541",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "MC0433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102260002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Kathleen Romine
• Jennifer M Sadler, MD
• Salem Clinic PLLC
• Salem Drug Company Inc
• Salem Drug Company, Inc
• Salem Public Schools
• Barbara Scott
• Scribner Family Practice Clinic, LLC
• John Scribner, M.D.
• Sarah Sexton, RN

• General Practice Physician in Salem, AR
• Providers in Salem, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.