The Doctor's Office of Marked Tree

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2736 Issued in AR

Legal business name

THE DOCTOR'S OFFICE OF MARKED TREE

Practice address

202 Newsome Dr
Marked Tree, AR 72365-2021

Phone

(870) 358-4355

Fax

(870) 358-4357

NPI assigned

Mar 28, 2007

Last updated

Jul 2, 2009By 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

Kimitaka Saito, MDNPI 1144268061

Title

Owner Physician

Phone

(870) 358-4355

Specialties & licenses 1

Addresses

Other names 1

• Kimitaka Saito, MD Other name

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.

• Kimitaka Saito, MD

  • Family Medicine Physician
  • Marked Tree, AR
  • NPI 1144268061
  Authorized official Same address or phone

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1700905296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723650616",
            "telephone_number": "870-358-4355",
            "fax_number": "870-358-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NEWSOME DR",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723652021",
            "telephone_number": "870-358-4355",
            "fax_number": "870-358-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOCTOR'S OFFICE OF MARKED TREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "SAITO",
        "authorized_official_first_name": "KIMITAKA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "870-358-4355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimitaka Saito, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Marked Tree, AR
• Providers in Marked Tree, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.