NPIMap

Organization Active NPI

Mountain Home Radiology Consultants

  • Diagnostic Radiology Physician
  • Mountain Home, AR
National Provider Identifier
1467418970
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MOUNTAIN HOME RADIOLOGY CONSULTANTS
Practice address
624 Hospital Dr Rad Dept.
Mountain Home, AR 72653-2955
Phone
(870) 508-1160
NPI assigned
Apr 24, 2006
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Dr. William L Landrum, MDNPI 1184699167
Title
Partner
Phone
(870) 425-6322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

624 Hospital Dr Rad Dept.
Mountain Home, AR 72653-2955

Mailing address

PO Box 2008
Mountain Home, AR 72654-2008
Phone (870) 425-6322

Other identifiers 1

IdentifierTypeStateIssuer
101050002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000767 AR Part B Supplier - Clinic/Group Practice 5890896120 Receives reassigned benefits from 7 practitioners
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

717 S Church St
Mountain Home, AR 72653
Phone (870) 425-6322

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1467418970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2008",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542008",
            "telephone_number": "870-425-6322",
            "fax_number": "870-424-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR RAD DEPT.",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME RADIOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-425-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101050002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.