Organization Active NPI

Hendrix Medical Services, P.L.L.C.

  • Allergy & Immunology Physician
  • Paragould, AR
National Provider Identifier
1376684183
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
E-0966 Issued in AR
Legal business name
HENDRIX MEDICAL SERVICES, P.L.L.C.
Practice address
2709 W Kingshighway
Suite 8
Paragould, AR 72450-4141
Phone
(870) 236-3388
Fax
(870) 236-2656
NPI assigned
Feb 12, 2007
Organization subpart
Yes
Parent organization
HENDRIX MEDICAL SERVICES, P.L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Lisa Michelle Hendrix, M.D.
Title
Physician
Phone
(870) 236-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X E-0966 AR Primary

Addresses

Primary practice location

2709 W Kingshighway
Suite 8
Paragould, AR 72450-4141

Mailing address

2709 W Kingshighway
Suite 8
Paragould, AR 72450-4141
Phone (870) 236-3388

Other identifiers 1

IdentifierTypeStateIssuer
CI2041OtherARRAILROAD MEDICARE

Other names 1

  • Paragould Allergy & Wellness Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Hendrix Medical Services PLLC

Locations

2709 W Kingshighway
Paragould, AR 72450
Phone (870) 236-7272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1376684183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY",
            "address_2": "SUITE 8",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504141",
            "telephone_number": "870-236-3388",
            "fax_number": "870-236-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY",
            "address_2": "SUITE 8",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504141",
            "telephone_number": "870-236-3388",
            "fax_number": "870-236-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRIX MEDICAL SERVICES, P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRIX MEDICAL SERVICES, P.L.L.C.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-236-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "E-0966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2041",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragould Allergy & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.