NPIMap

Organization Active NPI

Harmony Health Clinic Wynne, PLLC

  • Family Medicine Physician
  • Wynne, AR
National Provider Identifier
1558085175
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARMONY HEALTH CLINIC WYNNE, PLLC
Practice address
1920 Falls Blvd N
Wynne, AR 72396-4027
Phone
(870) 587-0800
NPI assigned
Sep 27, 2022
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Stephen Andrew Rohrer, NPNPI 1538611975
Title
Co-Owner
Phone
(870) 587-0800

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1920 Falls Blvd N
Wynne, AR 72396-4027

Mailing address

1920 Falls Blvd N
Wynne, AR 72396-4027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221227001208 AR Part B Supplier - Clinic/Group Practice 8527438019 Receives reassigned benefits from 4 practitioners
Practice locations: Wynne, AR
O20230124003054 AR Part B Supplier - Clinic/Group Practice 6305217688 Receives reassigned benefits from 14 practitioners
Practice locations: Lonoke, AR; Scott, AR; Wynne, AR

National Provider Directory

National Provider Directory
Tax ID family
Harmony HLTH Clin Wynne PLL6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15111 Highway 165
Scott, AR 72142
Phone (501) 229-8200

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1558085175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964027",
            "telephone_number": "870-587-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH CLINIC WYNNE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "ROHRER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-587-0800",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.