Marion Minor Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARION MINOR MEDICAL LLC

Practice address

136 Block St
Marion, AR 72364-1956

Phone

(870) 559-2314

Fax

(870) 559-2392

NPI assigned

Jan 1, 2014

Organization subpart

No

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

Authorized official

Name

Micheal D CharltonNPI 1669758777

Title

Aprn

Phone

(870) 559-2314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Micheal Douglas Charlton, APN

  • Family Nurse Practitioner
  • Marion, AR
  • NPI 1669758777
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie M Allman

  • Family Nurse Practitioner
  • Marion, AR
  • NPI 1952086464
  Medicare reassignment Care Compare group NPD
• Kaitlyn Mason, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1750976619
  Medicare reassignment NPD
• G R Collum, MD

  • General Practice Physician
  • Hughes, AR
  • NPI 1538279385
  NPD (past)
• Ashlyn Brook Williams, APRN-FNP

  • Family Nurse Practitioner
  • Marion, AR
  • NPI 1346761251
  NPD (past)

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1962823310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BLOCK ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641956",
            "telephone_number": "870-559-2314",
            "fax_number": "870-559-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BLOCK ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641956",
            "telephone_number": "870-559-2314",
            "fax_number": "870-559-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION MINOR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "870-559-2314"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Little Voices, PLLC
• Wendy Michelle Lovan-Bowers, OTR/L
• Loving Hands Solutions
• Michelle Magolio
• Marion Pediatric Dentistry, PLLC
• Marion Sleep Diagnostics
• Abby May Marotti, SLP
• Maxus
• Maxus Inc.

• General Practice Physician in Marion, AR
• Providers in Marion, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.