NPIMap

Organization Active NPI

S a Hall M D PA

Doing business as cypert ridge family practice clinic

  • Family Medicine Physician
  • Helena, AR
National Provider Identifier
1497724314
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
S A HALL M D PA
Doing business as
cypert ridge family practice clinic
Practice address
812 Newman Dr
Suite B
Helena, AR 72342-8950
Phone
(870) 338-8308
Fax
(870) 338-7702
NPI assigned
Mar 14, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Carol Catlett
Title
Business Manager
Phone
(870) 338-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

812 Newman Dr
Suite B
Helena, AR 72342-8950

Mailing address

PO Box 769
Helena, AR 72342-0769
Phone (870) 338-8308

Other names 1

  • cypert ridge family practice clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090904000259 AR Part B Supplier - Clinic/Group Practice 9931254497 Receives reassigned benefits from 3 practitioners
Practice locations: Helena, AR

National Provider Directory

National Provider Directory

Locations

812 Newman Dr
#B
Helena, AR 72342
Phone (870) 338-3808

Practitioners & affiliated clinicians

Practitioners 3

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1497724314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723420769",
            "telephone_number": "870-338-8308",
            "fax_number": "870-338-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NEWMAN DR",
            "address_2": "SUITE B",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428950",
            "telephone_number": "870-338-8308",
            "fax_number": "870-338-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S A HALL M D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CATLETT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "870-338-8308"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cypert ridge family practice clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.