NPIMap

Organization Active NPI

Physician Group of Arkansas, Inc.

Doing business as Steward Medical Group of Arkansas

  • Specialist
  • Hope, AR
National Provider Identifier
1982261061
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHYSICIAN GROUP OF ARKANSAS, INC.
Doing business as
Steward Medical Group of Arkansas
Practice address
2001 S Main St
Hope, AR 71801-8124
Phone
(870) 777-2323
Fax
(870) 722-7158
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Ashley Koch
Title
Ceo
Phone
(617) 562-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2001 S Main St
Hope, AR 71801-8124

Mailing address

PO Box 24573
Belfast, ME 04915-4496
Phone (855) 660-0300

Other names 1

  • STEWARD MEDICAL GROUP OF ARKANSAS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Group of Arkansas Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1982261061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24573",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154496",
            "telephone_number": "855-660-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018124",
            "telephone_number": "870-777-2323",
            "fax_number": "870-722-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUP OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-562-7070"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARD MEDICAL GROUP OF ARKANSAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEWARD MEDICAL GROUP OF ARKANSAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.