Organization Active NPI

Deborah S Quade MD PA

  • Internal Medicine Physician
  • Benton, AR
National Provider Identifier
1982920039
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DEBORAH S QUADE MD PA
Practice address
2519 Military Rd
Suite B
Benton, AR 72015-2498
Phone
(501) 316-5010
Fax
(501) 316-5014
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Deborah S Quade, M.D.
Title
Owner
Phone
(501) 316-5010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2519 Military Rd
Suite B
Benton, AR 72015-2498

Mailing address

2519 Military Rd
Suite B
Benton, AR 72015-2498
Phone (501) 316-5010

Other identifiers 2

IdentifierTypeStateIssuer
142721002MedicaidAR
134519001MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1982920039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 MILITARY RD",
            "address_2": "SUITE B",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152498",
            "telephone_number": "501-316-5010",
            "fax_number": "501-316-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 MILITARY RD",
            "address_2": "SUITE B",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152498",
            "telephone_number": "501-316-5010",
            "fax_number": "501-316-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH S QUADE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "QUADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-316-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142721002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134519001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.