Family Medicine Associates of Pine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMILY MEDICINE ASSOCIATES OF PINE

Practice address

1801 W 40TH Ave
Suite 6a
Pine Bluff, AR 71603-6900

Phone

(870) 541-9373

Fax

(870) 541-0109

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mary E Frazier

Title

Manager

Phone

(870) 541-9373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1831130616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 6A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036900",
            "telephone_number": "870-541-9373",
            "fax_number": "870-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 6A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036900",
            "telephone_number": "870-541-9373",
            "fax_number": "870-541-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF PINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-541-9373"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarenthia Monet Epps, M.D.
• Eragon Precision Health LLC
• Etherco Anesthesia PLLC
• Krystal Fair, BA, MHPP
• Sira Faizi, DO
• Family Medicine Podiatry
• Herbert F Fendley, MD
• Meagan Fenters
• Robert Ferguson, MD
• Jeffrey Harold Fergusson, DC

• 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 Dec 8, 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.