Krish Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3302 Issued in AR

Legal business name

KRISH FAMILY CLINIC

Practice address

1357 W Collin Raye Dr
De Queen, AR 71832-2946

Phone

(870) 642-4343

Fax

(870) 642-4399

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Madhulika Krish, M.D.NPI 1538168505

Title

Provider

Phone

(870) 289-5865

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhulika Krish, MD

  • Emergency Medicine Physician
  • Warren, AR
  • NPI 1538168505

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1912995606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718460295",
            "telephone_number": "870-289-5865",
            "fax_number": "870-289-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322946",
            "telephone_number": "870-642-4343",
            "fax_number": "870-642-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISH FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "KRISH",
        "authorized_official_first_name": "MADHULIKA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "870-289-5865",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146878002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C674",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan L. Hoyt, MD, PA
• Jason Ray Jones, FNP
• Thomas Elias Blair Jones, MD
• Joynpeds LLC
• Kirstin Kramer
• Lansdell Enterprise Corp
• Lansdell Enterprise Corp
• Lansdell Family Clinic PLLC
• Tawnya Lee Lansdell, APRN-CNP
• Lincare Inc

• Family Medicine Physician in De Queen, AR
• Providers in De Queen, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.