NPIMap

Organization Active NPI

Pafford Physician Services Em PLLC

  • Emergency Medicine Physician
  • Hope, AR
National Provider Identifier
1689445330
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PAFFORD PHYSICIAN SERVICES EM PLLC
Practice address
2001 S Main St
Hope, AR 71801-8144
Phone
(870) 474-6023
NPI assigned
Jan 11, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Rebecca B Williamson
Title
Compliance
Phone
(870) 474-6023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2001 S Main St
Hope, AR 71801-8144

Mailing address

100 E 20TH St Ste F
Hope, AR 71801-8222
Phone (870) 777-7760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214001537 AR Part B Supplier - Clinic/Group Practice 9638513005 Receives reassigned benefits from 26 practitioners
Practice locations: Hope, AR

National Provider Directory

National Provider Directory

Locations

100 E 20th St
Hope, AR 71801
Phone (870) 289-5865

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1689445330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 20TH ST STE F",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018222",
            "telephone_number": "870-777-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018144",
            "telephone_number": "870-474-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAFFORD PHYSICIAN SERVICES EM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "870-474-6023"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.