Active NPI
Saline Womens Group
- Obstetrics & Gynecology Physician
- Blytheville, AR
National Provider Identifier
1962652859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E4589
- Legal business name
- SALINE WOMENS GROUP
- Practice address
- 1100 Medical Dr
Blytheville, AR 72315-1425 - Phone
- (870) 780-1363
- Fax
- (870) 780-1364
- NPI assigned
- Sep 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony E. Daniels, M.D.
- Title
- Owner
- Phone
- (870) 780-1363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E4589 | AR | Primary |
Addresses
Primary practice location
1100 Medical Dr
Blytheville, AR 72315-1425
Mailing address
1100 Medical Dr
Blytheville, AR 72315-1425
Phone (870) 780-1363
Other names 1
- Blytheville Women's Group
National Provider Directory
National Provider Directory- Tax ID family
- Blytheville Women'S Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Benton, AR
- NPI 1083690523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1962652859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MEDICAL DR",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723151425",
"telephone_number": "870-780-1363",
"fax_number": "870-780-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MEDICAL DR",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723151425",
"telephone_number": "870-780-1363",
"fax_number": "870-780-1364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALINE WOMENS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-780-1363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E4589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blytheville Women's Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.