Farmington Family Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3510 Issued in AR

Legal business name

FARMINGTON FAMILY MEDICAL LLC

Practice address

199 E Main St
Farmington, AR 72730-3077

Phone

(479) 267-1001

Fax

(479) 267-1026

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jamal Ziad Abdin, M.D.

Title

Owner

Phone

(479) 267-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1952316390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 E MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727303077",
            "telephone_number": "479-267-1001",
            "fax_number": "479-267-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727303077",
            "telephone_number": "479-267-1001",
            "fax_number": "479-267-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "ABDIN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-267-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156125002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Farmington, AR
• Providers in Farmington, 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 Feb 10, 2010; 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.