Organization Active NPI

Burchfield Family Medicine PLLC

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1851331334
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1234 Issued in AR
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
131636001MedicaidAR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.