Robert Anthony Dorman MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

C-5783 Issued in AR

Legal business name

ROBERT ANTHONY DORMAN MD PA

Practice address

2850 Twin Rivers Dr Ste 101a
Arkadelphia, AR 71923-4226

Phone

(870) 246-6766

Fax

(870) 246-3860

NPI assigned

Sep 13, 2006

Organization subpart

Yes

Parent organization

ROBERT ANTHONY DORMAN MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Robert Anthony Dorman, M.D. ,P.A.NPI 1598764896

Title

Owner

Phone

(870) 246-6766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

Robert Anthony Dorman MD PA

Locations

Practitioners 1

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.

• Robert Anthony Dorman, MD

  • Internal Medicine Physician
  • Arkadelphia, AR
  • NPI 1598764896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1689779845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TWIN RIVERS DR",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234212",
            "telephone_number": "870-246-6766",
            "fax_number": "870-246-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TWIN RIVERS DR STE 101A",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234226",
            "telephone_number": "870-246-6766",
            "fax_number": "870-246-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ANTHONY DORMAN MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT ANTHONY DORMAN MD PA",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-246-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. ,P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C-5783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUE SHIELD",
            "identifier": "51418",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rickett
• Yuliya Riddle
• Carri Lynn Riley
• Rivendell - Outreach Arkadelphia (UHS of Benton)
• Johnathan Shane Roach
• Jackie D Rollins, LMSW
• Ronald Scott Exum M.D. P.a.
• Ronald Scott Exum MD, PA (Arkadelphia Hospitalist)
• Amy Ross, MHPP
• Derrick Kyle Ross, DMD

• Specialist in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.