NPIMap

Organization Active NPI

Doctors Health Group, Inc

Doing business as Buffalo Island Medical Clinic- Leachville

  • Family Medicine Physician
  • Leachville, AR
National Provider Identifier
1871970202
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS HEALTH GROUP, INC
Doing business as
Buffalo Island Medical Clinic- Leachville
Practice address
111 S Main St
Leachville, AR 72438-9097
Phone
(870) 539-1115
Fax
(870) 539-1125
NPI assigned
May 6, 2015
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Mr. John Lieblong
Title
VP Physician Services
Phone
(870) 932-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

111 S Main St
Leachville, AR 72438-9097

Mailing address

800 S. Main
P.O. Box 1331
Jonesboro, AR 72403-1331
Phone (870) 932-7024

Other names 1

  • Buffalo Island Medical Clinic- Leachville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1871970202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. MAIN",
            "address_2": "P.O. BOX 1331",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031331",
            "telephone_number": "870-932-7024",
            "fax_number": "870-930-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "LEACHVILLE",
            "state": "AR",
            "postal_code": "724389097",
            "telephone_number": "870-539-1115",
            "fax_number": "870-539-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "LIEBLONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "870-932-7024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Island Medical Clinic- Leachville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leachville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.