NPIMap

Organization Active NPI

Mountain View Family Practice PA

  • Family Medicine Physician
  • Mountain View, AR
National Provider Identifier
1700852530
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN VIEW FAMILY PRACTICE PA
Practice address
19797 Hwy 5
Mountain View, AR 72560-1096
Phone
(870) 269-4144
Fax
(870) 269-5723
NPI assigned
Feb 23, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Connie R Haney
Title
Office Manager
Phone
(870) 269-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

19797 Hwy 5
Mountain View, AR 72560-1096

Mailing address

PO Box 1096
19797 Hwy 5
Mountain View, AR 72560-1096
Phone (870) 269-4144

Other identifiers 1

IdentifierTypeStateIssuer
157236002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1700852530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "address_2": "19797 HWY 5",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601096",
            "telephone_number": "870-269-4144",
            "fax_number": "870-269-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19797 HWY 5",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601096",
            "telephone_number": "870-269-4144",
            "fax_number": "870-269-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-269-4144"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157236002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.