NPIMap

Organization Active NPI

Physicians Network Inc Dba Cabot Medical Clinic

Doing business as Cabot Medical Clinic

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1629032289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHYSICIANS NETWORK INC DBA CABOT MEDICAL CLINIC
Doing business as
Cabot Medical Clinic
Practice address
2037 W Main St
Cabot, AR 72023-7479
Phone
(501) 843-4555
Fax
(501) 843-7081
NPI assigned
Apr 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judi Harvey
Title
Administrator
Phone
(501) 843-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2037 W Main St
Cabot, AR 72023-7479

Mailing address

2037 W Main St
Cabot, AR 72023-7479
Phone (501) 843-4555

Other names 1

  • Cabot Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629032289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-843-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-843-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS NETWORK INC DBA CABOT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-843-4555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.