Bentonville Medical Arts PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N8166 Issued in AR

Legal business name

BENTONVILLE MEDICAL ARTS PLLC

Practice address

2618 SE J Street
Ste 12
Bentonville, AR 72712

Phone

(479) 715-6505

Fax

(479) 340-0015

NPI assigned

Jan 22, 2016

Last updated

Aug 16, 2016By 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

Lance Lee Hamilton, M.D.NPI 1053309898

Title

Owner

Phone

(479) 414-6283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lance L Hamilton M.D. Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Lance Lee Hamilton, M.D.

  • Internal Medicine Physician
  • Bentonville, AR
  • NPI 1053309898
  Medicare reassignment NPD Authorized official
• Samantha A Shepherd, APN

  • Gerontology Nurse Practitioner
  • Bentonville, AR
  • NPI 1144334343
  Medicare reassignment NPD

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1861859704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SE J STREET",
            "address_2": "STE 12",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-715-6505",
            "fax_number": "479-340-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 SE J STREET",
            "address_2": "STE 12",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-715-6505",
            "fax_number": "479-340-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTONVILLE MEDICAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-414-6283",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "N8166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125440A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121148801",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance L Hamilton M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bentonville Anesthesia PLLC
• Bentonville Assisted Living Services
• Bentonville Endoscopy Center, LLC (Bentonville Endoscopy Center)
• Bentonville Eye Care PLLC
• Bentonville Family Counseling PLLC
• Bentonville Pediatrics
• Bentonville Physical Therapy Specialists (That's The Knot)
• Bentonville Public Schools
• Bentonville Radiology Consultants, PLLC
• Tiffany Berry, LPC

• Internal Medicine Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.