Individual provider Active NPI

Martha Ann Hutson-Fincher, M.D.

  • Allergy & Immunology Physician
  • Fayetteville, AR
National Provider Identifier
1417906371
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
C2705 Issued in AR
Practice address
2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2807
Phone
(479) 521-3363
Fax
(479) 521-4167
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X C2705 AR Primary

Addresses

Primary practice location

2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2807

Mailing address

2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2807
Phone (479) 521-3363

Other identifiers 3

IdentifierTypeStateIssuer
51679OtherARBCBS PROV #
340675OtherARHEALTHLINK PROV#
12197000000OtherARQUALCHOICE PROV#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Care Center Allergy & Immunology CurrentSince Feb 16, 2009 Accepting new patients
ENT and Allergy Center, PA PastSince Oct 7, 2002 Accepting new patients

Locations

2100 N Green Acres Rd
Ste A
Fayetteville, AR 72703
Phone (479) 521-0455

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1417906371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-521-3363",
            "fax_number": "479-521-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-521-3363",
            "fax_number": "479-521-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON-FINCHER",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "C2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "51679",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROV#",
            "identifier": "340675",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE PROV#",
            "identifier": "12197000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.