Organization Active NPI

Arkansas Emergency Doctors,PLC

  • Emergency Medicine Physician
  • Benton, AR
National Provider Identifier
1891730511
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ARKANSAS EMERGENCY DOCTORS,PLC
Practice address
2909 Military Rd
Benton, AR 72015-2721
Phone
(501) 315-6500
Fax
(501) 315-0006
NPI assigned
Jun 17, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Linda McCall
Title
Business Office Manager
Phone
(501) 315-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

2909 Military Rd
Benton, AR 72015-2721

Mailing address

2909 Military Rd
Benton, AR 72015-2721
Phone (501) 315-6500

Other identifiers 1

IdentifierTypeStateIssuer
5C502OtherARBCBS

National Provider Directory

National Provider Directory

Locations

2909 Military Rd
Benton, AR 72015
Phone (501) 315-6500

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1891730511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152721",
            "telephone_number": "501-315-6500",
            "fax_number": "501-315-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152721",
            "telephone_number": "501-315-6500",
            "fax_number": "501-315-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS EMERGENCY DOCTORS,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "501-315-6500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C502",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.