Excel Health Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E4676 Issued in AR

Legal business name

EXCEL HEALTH INC

Practice address

3121 N Reynolds Rd
Suite 4
Bryant, AR 72022-9191

Phone

(501) 847-3292

Fax

(501) 213-0573

NPI assigned

Nov 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jay Cooper

Title

President

Phone

(501) 847-3292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1417388539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N REYNOLDS RD",
            "address_2": "SUITE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229191",
            "telephone_number": "501-847-3292",
            "fax_number": "501-213-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N REYNOLDS RD",
            "address_2": "SUITE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229191",
            "telephone_number": "501-847-3292",
            "fax_number": "501-213-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-847-3292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "E4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Bryant, AR
• Providers in Bryant, 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 Aug 8, 2014; 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.