Jeff J. Carfagno, M.D., P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

C-6805 Issued in AR

Legal business name

JEFF J. CARFAGNO, M.D., P.A.

Practice address

1900 Club Manor
Suite 105
Maumelle, AR 72113

Phone

(501) 851-8100

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeff J Carfagno, M.D.

Title

Family Practice Physician

Phone

(501) 851-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780765180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR",
            "address_2": "SUITE 105",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-851-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR",
            "address_2": "SUITE 105",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-851-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF J. CARFAGNO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARFAGNO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FAMILY PRACTICE PHYSICIAN",
        "authorized_official_telephone_number": "501-851-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "C-6805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.