Larry S. Felts, M.D. PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LARRY S. FELTS, M.D. PA

Practice address

4508 Stadium Blvd
Suite a
Jonesboro, AR 72404-9675

Phone

(870) 931-0434

Fax

(870) 931-0435

NPI assigned

Nov 30, 2010

Last updated

Nov 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry Stephen Felts, M.D.

Title

President

Phone

(870) 931-0434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1578865390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17357",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036725",
            "telephone_number": "870-931-0434",
            "fax_number": "870-931-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 STADIUM BLVD",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049675",
            "telephone_number": "870-931-0434",
            "fax_number": "870-931-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY S. FELTS, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-931-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.