Organization Active NPI

River Valley Medical Clinic

  • Family Medicine Physician
  • Van Buren, AR
National Provider Identifier
1720512601
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-2230 Issued in AR
Legal business name
RIVER VALLEY MEDICAL CLINIC
Practice address
2719 Bryan Rd
Van Buren, AR 72956-5031
Phone
(918) 208-4868
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Frederick Joseph Fuoco
Title
Consultant
Phone
(504) 495-6772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X E-2230 AR Primary

Addresses

Primary practice location

2719 Bryan Rd
Van Buren, AR 72956-5031

Mailing address

2719 Bryan Rd
Van Buren, AR 72956-5031
Phone (918) 208-4868

National Provider Directory

National Provider Directory

Locations

2719 Bryan Rd
Van Buren, AR 72956
Phone (479) 262-6069

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1720512601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 BRYAN RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565031",
            "telephone_number": "918-208-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 BRYAN RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565031",
            "telephone_number": "918-208-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "FUOCO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "504-495-6772",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.