Diffine Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-3767 Issued in AR

Legal business name

DIFFINE FAMILY PRACTICE PLLC

Practice address

1100 Medical Plaza Drive South
Suite C
Blytheville, AR 72315

Phone

(870) 824-2809

Fax

(870) 762-0731

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

David A Diffine, M.D,

Title

President

Phone

(870) 824-2809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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

• Bethany Allison Collins, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
  • NPI 1346339066
  Medicare reassignment NPD
• Stephanie L Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
  • NPI 1275204091
  Medicare reassignment NPD
• Heather Marie Key, APRN

  • Family Nurse Practitioner
  • Kennett, MO
  • NPI 1780099598

  AR

  Medicare reassignment NPD
• Suzanne Bushong, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1417929316
  NPD

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1962707158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL PLAZA DRIVE SOUTH",
            "address_2": "SUITE C",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "870-824-2809",
            "fax_number": "870-762-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFINE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "DIFFINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-824-2809",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Dean
• Constance Debose
• Delta Medical Transport, LLC
• Diabetes Institute Inc
• Kimberley Denise Dickey, PHARM.D.
• David Arthur Diffine, MD
• Lisa Jean Dillard, PTA
• Pamela Dillard
• Dixie Health Care, Inc
• Dixie Health Care, Inc

• Family Medicine Physician in Blytheville, AR
• Providers in Blytheville, 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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.