Active NPI
Hometown Doc, PA
- Family Medicine Physician
- Harrison, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7305
- Legal business name
- HOMETOWN DOC, PA
- Practice address
- 1014 N Spring St
Harrison, AR 72601-2918 - Phone
- (870) 399-0077
- Fax
- (833) 607-6390
- NPI assigned
- Aug 10, 2018
- Last updated
- Jul 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A. Langston, MD
- Title
- President/Incorporator
- Phone
- (870) 399-0077
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C7305 | AR | Primary |
Addresses
Primary practice location
1014 N Spring St
Harrison, AR 72601-2918
Mailing address
1014 N Spring St
Harrison, AR 72601-2918
Phone (870) 399-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113835001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2161026 | Hometown Doc, PA | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Harrison, AR
- NPI 1720086952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1568941433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 N SPRING ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012918",
"telephone_number": "870-399-0077",
"fax_number": "833-607-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 N SPRING ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012918",
"telephone_number": "870-399-0077",
"fax_number": "833-607-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN DOC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-10",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "LANGSTON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/INCORPORATOR",
"authorized_official_telephone_number": "870-399-0077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C7305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113835001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.