Organization Active NPI

Conover Clinics, Inc.

  • Family Medicine Physician
  • Centerton, AR
National Provider Identifier
1992847818
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2837 Issued in AR
Legal business name
CONOVER CLINICS, INC.
Practice address
101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone
(479) 795-0426
Fax
(479) 795-0427
NPI assigned
Feb 14, 2007
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Randy Duane Conover, D.O.NPI 1003802828
Title
Owner
Phone
(479) 795-0426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E2837 AR Primary

Addresses

Primary practice location

101 Sun Meadow Dr
Centerton, AR 72719-9610

Mailing address

PO Box 34
Centerton, AR 72719-0034
Phone (479) 795-0426

National Provider Directory

National Provider Directory

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1992847818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727190034",
            "telephone_number": "479-795-0426",
            "fax_number": "479-795-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUN MEADOW DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199610",
            "telephone_number": "479-795-0426",
            "fax_number": "479-795-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONOVER CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-795-0426",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.