Organization Active NPI

Totem Health PLLC

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1770100752
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOTEM HEALTH PLLC
Practice address
5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410
Phone
(479) 966-7331
NPI assigned
Jun 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Joanna Hagan McCall
Title
Practice Administrator
Phone
(479) 966-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410

Mailing address

5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410
Phone (479) 966-7331

Other identifiers 2

IdentifierTypeStateIssuer
5Z398OtherARBCBS
195361001MedicaidAR

Other names 1

  • Advanced Primary Care of the Ozarks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303000736 AR Part B Supplier - Clinic/Group Practice 1052727807 Receives reassigned benefits from 10 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

1001 S 52nd St
Ste 2
Rogers, AR 72758

Practitioners & affiliated clinicians

Practitioners 12

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": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1770100752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W SUNSET AVE STE 157",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624410",
            "telephone_number": "479-966-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W SUNSET AVE STE 157",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624410",
            "telephone_number": "479-966-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTEM HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "HAGAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "479-966-7331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5Z398",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195361001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Primary Care of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Primary Care of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.