Ozark Center for Lifestyle Medicine, Inc.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

OZARK CENTER FOR LIFESTYLE MEDICINE, INC.

Practice address

2894 N McKee Cir Ste 120
Fayetteville, AR 72703-3498

Phone

(870) 505-4619

NPI assigned

Nov 12, 2020

Last updated

Dec 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Louise Morgan, MD, MPHNPI 1891323184

Title

Founder and Executive Director

Phone

(479) 325-4859

Specialties & licenses 2

Addresses

Other names 1

• Ozark Center for Lifestyle Medicine Former legal business name

Locations

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.

• Cynthia Louise Morgan, MD, MPH, FACPM

  • Public Health & General Preventive Medicine Physician
  • Pettigrew, AR
  • NPI 1891323184
  NPD Authorized official

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1831791094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NC 9203",
            "city": "PETTIGREW",
            "state": "AR",
            "postal_code": "72752",
            "telephone_number": "870-505-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 N MCKEE CIR STE 120",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033498",
            "telephone_number": "870-505-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK CENTER FOR LIFESTYLE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "FOUNDER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-325-4859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Center for Lifestyle Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ozark Center for Lifestyle Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashlie Nicole Oxford, BILLING MANAGER
• Jennifer Oxford, APRN
• Ozanne Family Chiropractic (Thrive Wellness Center)
• Benjamin Arn Ozanne, D.C.
• Lucy Ozanne, CCC-SLP
• Ozark Community Bridge, LLC
• Ozark Dental Care (Dr Scott Stephens Family and Cosmetic Dentistry)
• Ozark Dermatology Clinic
• Ozark Foot & Ankle PLC
• Ozark Medical Consultants PLLC

• Public Health & General Preventive Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Public Health & General Preventive Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.