Organization Active NPI

Memory Medical

  • Health Maintenance Organization
  • Fayetteville, AR
National Provider Identifier
1942400312
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
E-1863 Issued in AR
Legal business name
MEMORY MEDICAL
Practice address
129 N Vaughn Rd
Fayetteville, AR 72701-0524
Phone
(479) 530-1771
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Gary Linker, MD
Title
Psychiatrist
Phone
(479) 420-7476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X E-1863 AR Primary

Addresses

Primary practice location

129 N Vaughn Rd
Fayetteville, AR 72701-0524

Mailing address

129 N Vaughn Rd
Fayetteville, AR 72701-0524
Phone (479) 530-1771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1942400312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N VAUGHN RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010524",
            "telephone_number": "479-530-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N VAUGHN RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010524",
            "telephone_number": "479-530-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "LINKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "479-420-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AR",
            "license": "E-1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.