Active NPI
Internal Medicine Associates
- Internal Medicine Physician
- Jonesboro, AR
National Provider Identifier
1457320103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MC0382
- Legal business name
- INTERNAL MEDICINE ASSOCIATES
- Practice address
- 300 Carson St
Jonesboro, AR 72401-3104 - Phone
- (870) 932-1198
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Zeigler
- Title
- Administrator
- Phone
- (870) 910-7751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MC0382 | AR | Primary |
Addresses
Primary practice location
300 Carson St
Jonesboro, AR 72401-3104
Mailing address
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101762002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1457320103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CARSON ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013104",
"telephone_number": "870-932-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CARSON ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013104",
"telephone_number": "870-932-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "ZEIGLER",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "870-910-7751"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AR",
"license": "MC0382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101762002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
- Kiley Inman, MHPP
- Insight Mental Health and Psychological Testing
- Integrity Counseling
- Integrity Counseling Health and Wellness, LLC
- Integrity Medical Consulting of Jonesboro
- International Spine Surgery & Pain Institure PA
- Anita Irby
- Bryanna Jo Irvin
- Kelsey Olivia Irvin
- Richard Wayne Irvin II, LPN, MHPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.