Rogers Family and Occupational Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROGERS FAMILY AND OCCUPATIONAL MEDICINE CLINIC

Practice address

1615B West Persimmon
Rogers, AR 72756

Phone

(479) 636-7192

Fax

(479) 621-9749

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Wayne Yawn, MDNPI 1801869185

Title

President

Phone

(479) 621-9749

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rogers Occupational Medical Clinic Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 4

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

• Timothy Wayne Yawn, MD

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1801869185
  Medicare reassignment NPD Authorized official
• Marjorie Antenor Edwards, M.D.

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1902038375
  NPD (past)
• David J Foscue, M.D. , PA

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1366409930
  NPD (past)
• Norman Tubb, MD

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1548207905
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801869151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615B WEST PERSIMMON",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-636-7192",
            "fax_number": "479-621-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615B WEST PERSIMMON",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-636-7192",
            "fax_number": "479-621-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS FAMILY AND OCCUPATIONAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-621-9749",
        "authorized_official_credential": "MD"
    },
    "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": "BLUE CROSS BLUE SHIELD",
            "identifier": "5B378",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Occupational Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rogers Back to Health Chiropractic
• Rogers Back to Health Chiropractic
• Rogers Counseling Services, Inc.
• Rogers Dental Associates,PLLC
• Rogers Dental Center, PLLC
• Rogers Memory Care, LLC
• Rogers Public Schools
• Rogers SNF Operations LLC
• Jacque Hope Rogers, DPT
• Lori E Rogers, AUD

• Family Medicine Physician in Rogers, AR
• Providers in Rogers, 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 Aug 22, 2020; 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.