Integrated Community Clinics PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATED COMMUNITY CLINICS PA

Doing business as

Community Physicians Group

Practice address

1101-2 N Progress Avenue
Siloam Springs, AR 72761-4343

Phone

(479) 549-3079

Fax

(479) 549-3275

NPI assigned

May 3, 2006

Last updated

Feb 13, 2012By 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

Kelly Chambers

Title

Billing Manager

Phone

(479) 549-3079

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Community Physicians Group Doing business as

Locations

Practitioners 4

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.

• Joseph A Aldrich Jr., DO

  • Pediatrics Physician
  • Siloam Springs, AR
  • NPI 1396732202
  NPD (past)
• Lindsay Turner, PA-C

  • Physician Assistant
  • Siloam Springs, AR
  • NPI 1871914317
  NPD (past)
• Alexandra Wise-Ehlers, MD

  • Pediatrics Physician
  • Siloam Springs, AR
  • NPI 1417418484
  NPD (past)
• Leslie J Rebtoy, DO

  • Family Medicine Physician
  • Stilwell, OK
  • NPI 1376526889
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1760440226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101-2 N PROGRESS AVENUE",
            "address_2": "PO BOX 1374",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727611374",
            "telephone_number": "479-549-3079",
            "fax_number": "479-549-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101-2 N PROGRESS AVENUE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614343",
            "telephone_number": "479-549-3079",
            "fax_number": "479-549-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-549-3079"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747540A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135299002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C090",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Lynn Huff
• Courtney Hughes
• David Brian Humphrey, APRN, FNP-C
• Hunter Nichole Hurley
• Peter A Innes, M.D.
• Invicta Counseling
• Molly Nicole Ireland
• Carey Brent James Jr.
• Rebecca Jeffus, PHARMD
• Jepson Drugs LLC

• Family Medicine Physician in Siloam Springs, AR
• Providers in Siloam Springs, 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 Feb 13, 2012; 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.