Firt US Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FIRT US CLINIC INC

Practice address

1614 W 42ND Ave
Pine Bluff, AR 71603-7006

Phone

(870) 534-6800

Fax

(870) 534-6846

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Olabode Olumofin, M.D.NPI 1720025513

Title

Medical Director

Phone

(870) 534-6800

Specialties & licenses 1

Addresses

Tax ID family

First US Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• First US Clinic PA

  • Internal Medicine Physician
  • Pine Bluff, AR
  • NPI 1750513982
  NPD tax ID

Locations

Practitioners 3

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

• Olabode Olumofin, M.D.

  • Internal Medicine Physician
  • Pine Bluff, AR
  • NPI 1720025513
  NPD Authorized official
• Margo Elaine Johnson, R.D., L.D.

  • Registered Dietitian
  • Little Rock, AR
  • NPI 1235296773
  NPD (past)
• Steven Howard Wright, M.D.

  • Internal Medicine Physician
  • Pine Bluff, AR
  • NPI 1598771677
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1760610505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037006",
            "telephone_number": "870-534-6800",
            "fax_number": "870-534-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037006",
            "telephone_number": "870-534-6800",
            "fax_number": "870-534-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRT US CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "OLUMOFIN",
        "authorized_official_first_name": "OLABODE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "870-534-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert F Fendley, MD
• Meagan Fenters
• Robert Ferguson, MD
• Jeffrey Harold Fergusson, DC
• First US Clinic PA
• Felicia Ann Fisher
• Maxwell U Fleming Jr., DDS
• Flowers Pediatraic Clinic
• Flowers Pharmacy
• Flowers Pharmacy LLC

• Primary Care Clinic/Center in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.