Benton County Urology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E-4951 Issued in AR

Legal business name

BENTON COUNTY UROLOGY, PA

Practice address

200 S 20TH St Ste C
Rogers, AR 72758-1100

Phone

(479) 636-9669

Fax

(479) 636-0743

NPI assigned

Mar 3, 2010

Last updated

Sep 3, 2013By 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. Robert Allen Zimmerman, MD, PHDNPI 1669420931

Title

President/Owner/Physican

Phone

(479) 636-9669

Specialties & licenses 1

Addresses

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.

• Robert A Zimmerman, MD, PHD

  • Urology Physician
  • Rogers, AR
  • NPI 1669420931
  Authorized official Same address or phone

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1891018958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST STE C",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581100",
            "telephone_number": "479-636-9669",
            "fax_number": "479-636-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST STE C",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581100",
            "telephone_number": "479-636-9669",
            "fax_number": "479-636-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICAN",
        "authorized_official_telephone_number": "479-636-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E-4951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott G. Bennington, D.C.
• Marcus Benson, LPC, LPCC
• Stuart Benson, D.O.
• Benton County Charter School Organ.
• Benton County School of the Arts
• Brandon Kyle Benton, D.D.S.
• Sharon Susan Benton, LCSW
• Clay M Berger, D.C.
• London Berkshire
• James Berley, D.D.S.

• Specialist in Rogers, AR
• Providers in Rogers, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.