Organization Active NPI

Ozark Guidance Center, Inc

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1659945194
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OZARK GUIDANCE CENTER, INC
Practice address
2400 S 48TH St
Springdale, AR 72762-6683
Phone
(479) 725-5382
Fax
(479) 872-1857
NPI assigned
May 19, 2021
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
John Christopher Ryan
Title
Coo
Phone
(479) 725-5288

Specialties & licenses 1

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

Addresses

Primary practice location

2400 S 48TH St
Springdale, AR 72762-6683

Mailing address

PO Box 6430
Springdale, AR 72766-6430
Phone (479) 725-5382

Other practice location 1

501 S 40th St
Rogers, AR 72758-1626
Phone (479) 750-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000380 AR Part B Supplier - Clinic/Group Practice 7214833730 Receives reassigned benefits from 67 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springdale, AR; Siloam Springs, AR; Rogers, AR; Mountain Home, AR; Harrison, AR; Fayetteville, AR; Berryville, AR; Bentonville, AR…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ozark Guidance Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2205 Phyllis St
Bentonville, AR 72712
Phone (479) 725-6000

208 Highway 62 W
Berryville, AR 72616
Phone (870) 423-2758

899 Burnett Dr
Mountain Home, AR 72653
Phone (870) 232-4385

1200 W Walnut St
Ste 1400
Rogers, AR 72756
Phone (479) 725-6000

501 S 40th St
Rogers, AR 72758

Practitioners & affiliated clinicians

Practitioners 421

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 421

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1659945194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6430",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727666430",
            "telephone_number": "479-725-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-725-5382",
            "fax_number": "479-872-1857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 40th St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581626",
            "country_code": "US",
            "telephone_number": "479-750-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OZARK GUIDANCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-05-18",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "479-725-5288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.