NPIMap

Organization Active NPI

Mid- South Rheumatology & Internal Medicine

  • Multi-Specialty Clinic/Center
  • Marion, AR
National Provider Identifier
1831582758
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MID- SOUTH RHEUMATOLOGY & INTERNAL MEDICINE
Practice address
612 River Oaks Dr
Marion, AR 72364-9048
Phone
(901) 833-2720
NPI assigned
Mar 17, 2015
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Churchill Arobonosen AkhigbeNPI 1689884439
Title
MD
Phone
(901) 833-2720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

612 River Oaks Dr
Marion, AR 72364-9048

Mailing address

612 River Oaks Dr
Marion, AR 72364-9048

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

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": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1831582758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 RIVER OAKS DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 RIVER OAKS DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649048",
            "telephone_number": "901-833-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID- SOUTH RHEUMATOLOGY & INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "AKHIGBE",
        "authorized_official_first_name": "CHURCHILL",
        "authorized_official_middle_name": "AROBONOSEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "901-833-2720"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.