Family Medicine Associates of Blytheville PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA

Practice address

1521 N 10TH St
Ste C
Blytheville, AR 72315-1405

Phone

(870) 762-5360

Fax

(870) 762-2095

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Hester, MDNPI 1336118157

Title

MD President

Phone

(870) 762-5362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Lee Hester, MD

  • Internal Medicine Physician
  • Blytheville, AR
  • NPI 1336118157
  Medicare reassignment Care Compare group NPD Authorized official
• Connie Kay Ash, APRN

  • Family Nurse Practitioner
  • Blytheville, AR
  • NPI 1720402464
  Medicare reassignment Care Compare group NPD
• Karen Sue Hester, MD

  • Pediatrics Physician
  • Blytheville, AR
  • NPI 1043289879
  Medicare reassignment NPD
• Benjamin Asafo-Boakye, MD

  • Pediatrics Physician
  • Blytheville, AR
  • NPI 1013937549
  NPD (past)
• Shalender Mittal, M.D.

  • Internal Medicine Physician
  • Blytheville, AR
  • NPI 1447209606
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609934249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NORTH 10TH STREET",
            "address_2": "STE C",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "870-762-5360",
            "fax_number": "870-762-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N 10TH ST",
            "address_2": "STE C",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151405",
            "telephone_number": "870-762-5360",
            "fax_number": "870-762-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "870-762-5362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Steve Espanola
• Valerie Estell, MHPP
• Everside Health LLC
• Caala Marie Fagan, ECTD, MHPP
• Sharonda Falls
• Christanne Farley
• Peyton Reed Faulkner, DDS
• First Choice Physical Therapy
• First Step Arkansas, LLC
• Casheena N Ford, AA MHPP

• Family Medicine Physician in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.