Internal Medicine Associates of Benton, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF BENTON, P.A.

Practice address

112 N Main St
Benton, AR 72015-3765

Phone

(501) 778-5740

Fax

(501) 778-5743

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Gala C Tallent

Title

Administrator

Phone

(501) 778-5740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699737239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153765",
            "telephone_number": "501-778-5740",
            "fax_number": "501-778-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153765",
            "telephone_number": "501-778-5740",
            "fax_number": "501-778-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF BENTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALLENT",
        "authorized_official_first_name": "GALA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-778-5740"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshanta Ice, RECOVERY ASSISTANT
• Courtney Icenhower
• Infinity Therapy, LLC
• Crystal N Ingram, RECOVERY ASSISTANT
• Inpatient Solutions
• Bruce Oakley Polk Irico, RECOVERY ASSISTANT
• Melva Irwin, LMSW
• Miranda Isom
• J. Stephen Raines DDS PLLC
• Amanda Elizabeth Jackson, OTR L

• Internal Medicine Physician in Benton, AR
• Providers in Benton, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.