NPIMap

Organization Active NPI

Stuttgart Medical Clinic LTD

  • Family Medicine Physician
  • Stuttgart, AR
National Provider Identifier
1740480169
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STUTTGART MEDICAL CLINIC LTD
Practice address
1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone
(870) 673-7211
Fax
(870) 672-6823
NPI assigned
Jul 24, 2007
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Lura Wilson
Title
Administrator
Phone
(870) 674-6783

Specialties & licenses 1

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

Addresses

Primary practice location

1609 N Medical Dr
Stuttgart, AR 72160-3274

Mailing address

PO Box 1901
Stuttgart, AR 72160-1901
Phone (870) 673-3511

Other identifiers 1

IdentifierTypeStateIssuer
100907002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1740480169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721601901",
            "telephone_number": "870-673-3511",
            "fax_number": "870-672-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N MEDICAL DR",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603274",
            "telephone_number": "870-673-7211",
            "fax_number": "870-672-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUTTGART MEDICAL CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-674-6783"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100907002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuttgart, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.