Bob E Cogburn MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

C-4698 Issued in AR

Legal business name

BOB E COGBURN MD PA

Practice address

899 Burnett Dr
Mountain Home, AR 72653

Phone

(870) 425-5354

Fax

(870) 425-9656

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Bob E Cogburn, MD, PA, DBA

Title

Owner/Practicing Physician

Phone

(870) 425-5354

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1891022596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72654",
            "telephone_number": "870-425-5354",
            "fax_number": "870-425-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-5354",
            "fax_number": "870-425-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB E COGBURN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "COGBURN",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRACTICING PHYSICIAN",
        "authorized_official_telephone_number": "870-425-5354",
        "authorized_official_credential": "MD, PA, DBA"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "C-4698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113246001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellen Blagg, CCC-SLP
• Nathaniel C Blanton, APRN
• Madison Bloodworth, OT-R
• Wendy Blount, RN
• Bmnrc, Inc.
• Bob Mathis DDS PA
• Jodi Nicole Bodenhamer, APRN
• Asher G Bogdanove, PT
• Coleen Bohannon
• Paul Allen Bolt, OTR

• Hematology & Oncology Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Hematology & Oncology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.