Organization Active NPI

Med Sources, LTD.

  • Family Medicine Physician
  • Nashville, AR
National Provider Identifier
1528070059
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED SOURCES, LTD.
Doing business as
Nashville Medical Center
Practice address
6 Southpark Shopping Ctr
Nashville, AR 71852-3307
Phone
(870) 451-9664
Fax
(870) 451-9672
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
James D White
Title
Cfo
Phone
(888) 302-1044

Specialties & licenses 1

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

Addresses

Primary practice location

6 Southpark Shopping Ctr
Nashville, AR 71852-3307

Mailing address

PO Box 30071
New Orleans, LA 70190-0071
Phone (888) 302-1044

Other identifiers 1

IdentifierTypeStateIssuer
167966002MedicaidAR

Other names 1

  • Nashville Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1528070059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30071",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701900071",
            "telephone_number": "888-302-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SOUTHPARK SHOPPING CTR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523307",
            "telephone_number": "870-451-9664",
            "fax_number": "870-451-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SOURCES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-302-1044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167966002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.