Saline Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SALINE MEDICAL GROUP

Practice address

624 Alcoa
Benton, AR 72015-3404

Phone

(501) 315-4512

Fax

(501) 315-0917

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Roger L Tilley, MD

Title

Owner

Phone

(501) 315-4512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael J Schmidt, M.D.

  • Surgery Physician
  • Benton, AR
  • NPI 1629257266
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1700830718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 ALCOA",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153404",
            "telephone_number": "501-315-4512",
            "fax_number": "501-315-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 ALCOA",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153404",
            "telephone_number": "501-315-4512",
            "fax_number": "501-315-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-315-4512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105459002",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saline Heart Rehab and Dietary Srvices
• Saline Hospital LLC
• Saline Hospital LLC
• Saline Hospital LLC
• Saline Med-Peds Group, Inc
• Saline Memorial Hospital
• Saline Memorial Hospital Technical Services LLC
• Saline Operations, LLC
• Saline Optical, Inc.
• Saline Orthopedic Group P a

• All providers in Benton, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.