Siloam Springs Memorial Hospital

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

54 Issued in AR

Legal business name

SILOAM SPRINGS MEMORIAL HOSPITAL

Doing business as

SSMH Radiology Group

Practice address

205 E Jefferson St
Siloam Springs, AR 72761-3629

Phone

(479) 524-4141

Fax

(479) 549-2674

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy Jane Woodruff

Title

PFS Director

Phone

(479) 549-2434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SSMH RADIOLOGY GROUP Doing business as

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1639348949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM SPRINGS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "479-549-2434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D/B/A CERTIFICATE",
            "identifier": "9703",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSMH RADIOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Siloam Springs Dental Care PLLC
• Siloam Springs Internal Medicine Clinic, PLLC
• Siloam Springs Memorial Hospital (SSMH ER Group)
• Siloam Springs Memorial Hospital
• Siloam Springs Memorial Hospital (SSMH Anesthesiology Group)
• Siloam Springs Memorial Hospital (SSMH Physician Group)
• Siloam Springs School District
• Siloam Springs Women's Center
• Siloam Springs Womens Clinic Womens Center
• Janna Simpson, PT

• Diagnostic Radiology Physician in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.