NPIMap

Organization Active NPI

The Doctor'S Office of Marked Tree

  • Family Medicine Physician
  • Marked Tree, AR
National Provider Identifier
1700905296
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Kimitaka Saito, MD
Title
Owner Physician
Phone
(870) 358-4355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R2736 AR Primary

Addresses

Primary practice location

202 Newsome Dr
Marked Tree, AR 72365-2021

Mailing address

PO Box 616
Marked Tree, AR 72365-0616
Phone (870) 358-4355

Other identifiers 1

IdentifierTypeStateIssuer
142472002MedicaidAR

Other names 1

  • Kimitaka Saito, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142472002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimitaka Saito, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marked Tree, AR

Sources for this page

  • 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.