NPIMap

Organization Active NPI

University of Arkansas for Medical Sciences

Doing business as AHEC NE Family Practice Clinic

  • Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1437537453
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Doing business as
AHEC NE Family Practice Clinic
Practice address
311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone
(870) 972-0063
Fax
(870) 972-2914
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Ron Cole
Title
Center Director
Phone
(870) 972-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

311 E Matthews Ave
Jonesboro, AR 72401-3125

Mailing address

311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone (870) 972-0063

Other names 1

  • AHEC NE Family Practice Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel R Pieper MD111 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1437537453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-972-0063",
            "fax_number": "870-972-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-972-0063",
            "fax_number": "870-972-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "870-972-0063"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHEC NE Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.