NPIMap

Organization Active NPI

Family Medicine of White Hall, P.a.

  • Family Medicine Physician
  • White Hall, AR
National Provider Identifier
1972730919
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE OF WHITE HALL, P.A.
Practice address
1600 W Holland Ave
Suite 202
White Hall, AR 71602-9636
Phone
(870) 850-8055
Fax
(870) 850-8056
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Timmothy C Reece, M.D.NPI 1679794762
Title
Owner
Phone
(870) 850-8055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1600 W Holland Ave
Suite 202
White Hall, AR 71602-9636

Mailing address

1600 W Holland Ave
Suite 202
White Hall, AR 71602-9636
Phone (870) 850-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000527 AR Part B Supplier - Clinic/Group Practice 4385799691 Receives reassigned benefits from 6 practitioners
Practice locations: White Hall, AR

National Provider Directory

National Provider Directory

Locations

7245 Sheridan Rd
White Hall, AR 71602
Phone (870) 580-8055

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71308

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1972730919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W HOLLAND AVE",
            "address_2": "SUITE 202",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029636",
            "telephone_number": "870-850-8055",
            "fax_number": "870-850-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W HOLLAND AVE",
            "address_2": "SUITE 202",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029636",
            "telephone_number": "870-850-8055",
            "fax_number": "870-850-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF WHITE HALL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "TIMMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-850-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.