NPIMap

Organization Active NPI

Preferred Medical Associates LLC

  • General Practice Physician
  • Mountain Home, AR
National Provider Identifier
1760718514
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREFERRED MEDICAL ASSOCIATES LLC
Practice address
40 Plaza Way
Suite 30
Mountain Home, AR 72653-9265
Phone
(870) 492-9000
Fax
(870) 492-9003
NPI assigned
Oct 29, 2009
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Adam R Wozniak, DONPI 1730146507
Title
Owner
Phone
(870) 492-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

40 Plaza Way
Suite 30
Mountain Home, AR 72653-9265

Mailing address

PO Box 2368
Mountain Home, AR 72654-2368
Phone (870) 492-9000

Other identifiers 2

IdentifierTypeStateIssuer
5G193OtherARK BCBS
180515002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1760718514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2368",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542368",
            "telephone_number": "870-492-9000",
            "fax_number": "870-492-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PLAZA WAY",
            "address_2": "SUITE 30",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539265",
            "telephone_number": "870-492-9000",
            "fax_number": "870-492-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-492-9000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BCBS",
            "identifier": "5G193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180515002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.