Baxter Regional Center for Integrative Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E2090 Issued in AR

Legal business name

BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC

Practice address

610 Broadmoor Dr
Mountain Home, AR 72653-2903

Phone

(870) 508-7530

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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

Mr. Ron Peterson

Title

Manager

Phone

(870) 508-1018

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mary Danforth

  • Registered Dietitian
  • Mountain Home, AR
  • NPI 1902286321
  NPD (past)
• Robin Keating, MASSAGE THERAPIST

  • Massage Therapist
  • Mountain Home, AR
  • NPI 1265820872
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1922475045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BROADMOOR DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532903",
            "telephone_number": "870-508-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BROADMOOR DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532903",
            "telephone_number": "870-508-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER REGIONAL CENTER FOR INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-508-1018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baxter County Regional Hospital, Inc. (Baxter Regional General Surgery Clinic)
• Baxter County Regional Hospital, Inc. (Baxter Regional Nephrology & Pulmonology Clinic)
• Baxter County Regional Hospital, Inc. (Baxter Health Family Clinic)
• Baxter Day Service Center, Inc.
• Baxter Emergency Group PLLC
• Baxter Regional Enterprises, LLC (Baxter Regional Cardiovascular Clinic)
• Baxter Regional Enterprises, LLC (Baxter Health ENT and Allergy Clinic)
• Baxter Regional Enterprises, LLC (Baxter Health Urology Clinic)
• Baxter Retirement Village
• BCC Mountain Home Operations, LLC (Elmcroft of Mountain Home)

• Family Medicine Physician in Mountain Home, AR
• Providers in Mountain Home, 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 24, 2015; 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.