Organization Active NPI

Cyril a Raben Mdpa

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1689728974
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N7877 Issued in AR
Legal business name
CYRIL A RABEN MDPA
Practice address
350 E Millsap Rd
Fayetteville, AR 72703-4098
Phone
(479) 442-4495
Fax
(479) 442-8178
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mrs. Cindy Kay Raben
Title
Office Administrator
Phone
(479) 442-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X N7877 AR Primary

Addresses

Primary practice location

350 E Millsap Rd
Fayetteville, AR 72703-4098

Mailing address

350 E Millsap Rd
Fayetteville, AR 72703-4098
Phone (479) 442-4495

Other identifiers 1

IdentifierTypeStateIssuer
5C794OtherARBCBS

National Provider Directory

National Provider Directory

Locations

2894 W Walnut St
Ste A
Rogers, AR 72756
Phone (479) 442-4495

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1689728974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034098",
            "telephone_number": "479-442-4495",
            "fax_number": "479-442-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034098",
            "telephone_number": "479-442-4495",
            "fax_number": "479-442-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRIL A RABEN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "RABEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "479-442-4495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N7877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.