Organization Active NPI

Integrated Health Associates

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1457783532
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C5953 Issued in AR
Legal business name
INTEGRATED HEALTH ASSOCIATES
Practice address
1792 E Joyce Blvd
Suite 3
Fayetteville, AR 72703-5253
Phone
(479) 582-5805
Fax
(479) 582-5908
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Thomas Atkinson, M.D.NPI 1861438665
Title
Owner
Phone
(479) 582-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C5953 AR Primary

Addresses

Primary practice location

1792 E Joyce Blvd
Suite 3
Fayetteville, AR 72703-5253

Mailing address

PO Box 9690
Fayetteville, AR 72703-0030
Phone (479) 582-5905

National Provider Directory

National Provider Directory

Locations

1792 E Joyce Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 301-2822

Practitioners & affiliated clinicians

Practitioners 2

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": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1457783532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9690",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030030",
            "telephone_number": "479-582-5905",
            "fax_number": "479-582-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035253",
            "telephone_number": "479-582-5805",
            "fax_number": "479-582-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-582-5905",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C5953",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 31, 2013; 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.