Organization Active NPI

United Medical, PA

  • General Practice Physician
  • Rogers, AR
National Provider Identifier
1588909055
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UNITED MEDICAL, PA
Practice address
593 Horsebarn Rd.
Rogers, AR 72758-8797
Phone
(479) 271-9191
Fax
(479) 271-9196
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Todd Wulf, DC
Title
Dr.
Phone
(479) 271-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

593 Horsebarn Rd.
Rogers, AR 72758-8797

Mailing address

593 Horsebarn Rd.
Rogers, AR 72758-8797
Phone (479) 271-9191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1588909055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD.",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588797",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 HORSEBARN RD.",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588797",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "WULF",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "479-271-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.