Community Physicians Group

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

COMMUNITY PHYSICIANS GROUP

Practice address

311 Morrow St N
Mena, AR 71953-2516

Phone

(479) 394-6100

NPI assigned

May 20, 2006

Last updated

Nov 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Bowen

Title

Ceo

Phone

(870) 289-5865

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mena Hospital Commission

  dba Mena Regional Health System Rehab Unit

  • Rehabilitation Hospital Unit
  • Mena, AR
  • NPI 1902901200

  Member Of

  NPD member

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1699729095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718460295",
            "telephone_number": "870-289-5865",
            "fax_number": "870-289-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532516",
            "telephone_number": "479-394-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-289-5865"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770304502",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150034002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lane Myles Cheramie, RPH
• Autumn Chumley
• Coast to Coast Home Medical (Hometown Medical Supply)
• Robert Martin Cohen, MD
• Ashley Colvert
• Ian Craig, DMD
• Christopher Croson, PHARMD.
• Dallas Avenue Dental Care, Inc.
• David P. Brown, MD PA
• Andrew Edward David, MD

• Body Imaging Physician in Mena, AR
• Providers in Mena, AR by specialty
• Body Imaging Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.