Active NPI
Burchfield Family Medicine PLLC
- Family Medicine Physician
- Paragould, AR
National Provider Identifier
1851331334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1234
- Legal business name
- BURCHFIELD FAMILY MEDICINE PLLC
- Practice address
- 630 W Court St
Paragould, AR 72450-4247 - Phone
- (870) 236-6911
- Fax
- (870) 236-8129
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diary Oden
- Title
- Office Manager
- Phone
- (870) 236-6911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1234 | AR | Primary |
Addresses
Primary practice location
630 W Court St
Paragould, AR 72450-4247
Mailing address
630 W Court St
Paragould, AR 72450-4247
Phone (870) 236-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131636001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/GDABAA
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.
-
- Pediatrics Physician
- Paragould, AR
- NPI 1609363514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1851331334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504247",
"telephone_number": "870-236-6911",
"fax_number": "870-236-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504247",
"telephone_number": "870-236-6911",
"fax_number": "870-236-8129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURCHFIELD FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "ODEN",
"authorized_official_first_name": "DIARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "870-236-6911"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "E1234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131636001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.