Ancillary Innovations

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ANCILLARY INNOVATIONS

Practice address

1792 E Joyce Blvd Ste 3
Fayetteville, AR 72703-5255

Phone

(479) 301-2565

Fax

(479) 301-2717

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Regina E Thurman, MDNPI 1689682353

Title

Ceo

Phone

(479) 301-2565

Specialties & licenses 1

Addresses

Practitioners 2

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

• Regina Elizabeth Thurman, MD

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, AR
  • NPI 1689682353
  NPD Authorized official
• Thomas W Atkinson, M.D.

  • Internal Medicine Physician
  • Fayetteville, AR
  • NPI 1861438665
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1962899989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035255",
            "telephone_number": "479-301-2565",
            "fax_number": "479-301-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035255",
            "telephone_number": "479-301-2565",
            "fax_number": "479-301-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-301-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambulatory Anesthesia Associates PLLC
• Kabrina Amey
• Agyenim Boateng Amoako, M.D.
• Cynthia J Amram, MD
• Suneetha Anaparti
• Mamua Mary Andela, MD
• Holly Renee Andersen, O.D.
• Trystin Anderson Figueroa, DO
• Elizabeth Jean Anderson-Tjarks, RN
• Bethany Anderson, SPEECH PATHOLOGY

• Clinical Medical Laboratory in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.