DOC NETWORK, INC. (NPI# 1518249929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518249929 |
| Entity Type | Organization |
| Organization Name | DOC NETWORK, INC. |
| Practice Address |
11705 E Creek Ln Farmington AR 72730-9564 |
| Mailing Address |
11705 East Creek Lane Farmington AR 72730 |
| Practice Telephone | 8005681441 |
| Practice Fax Number | 8666148297 |
| Mailing Telephone | 8005681441 |
| Mailing Fax Number | 8666148297 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | DR. BRIAN W. GRANTHAM (PRESIDENT) |
| Authorized Official Telephone | 8005681441 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
E5998 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E5998 | AR | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | E5998 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 178393001 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5H426 | 01 |
| Street Address |
11705 E CREEK LN |
| City | FARMINGTON |
| State | AR |
| Zip Code | 72730-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073706370 | Exceed Physical Therapy, Inc. | Physical Therapist | 95 S Southwinds Rd, Suite 1, Farmington, AR 72730 | 2007-08-21 |
| 1134288228 | Melanie Nicole Alberty | Physical Therapy Assistant | 91 Neal, Farmington, AR 72730 | 2006-12-06 |
| 1689687329 | Terri Lynn Pinkham | Occupational Therapist | 91 E Neal, Hope for Tomorrow Pediatric Foundation, Farmington, AR 72730 | 2006-08-14 |
| 1497768139 | Pamela K Petray | Speech-Language Pathologist | 91 Neal St, Hope for Tomorrow, Farmington, AR 72730 | 2006-08-14 |
| 1790202596 | Chelsea Kaitlyn Coffelt | Occupational Therapist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-08-23 |
| 1083151104 | Zoe Loretta Allgood Mcgee | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-01-26 |
| 1467869248 | Bridget Starnes | Occupational Therapist | 120 Southwinds Rd Ste 2, Farmington, AR 72730 | 2014-07-14 |
| 1669694139 | Nancy Marie Whitten | Speech-Language Pathologist | 91 Neal, Hope for Tomorrow, Farmington, AR 72730 | 2007-05-03 |
| 1538292305 | Robert Lee Brewer | Dentist | 19 West Main St, Farmington, AR 72730 | 2007-03-13 |
| 1295835122 | Rickie Lynn Porter | Pharmacist | 197 E Main St, Farmington, AR 72730 | 2006-09-22 |
| Find all providers in zip 72730 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1811254345 | Jacob Patrick Stephenson | General Practice | 2239 W Falconer Cir, Farmington, UT 84025-2905 | 2012-04-22 |
| 1356513139 | Orr Medical Enterprises, Inc | General Practice | 608 Maple Valley Dr, Farmington, MO 63640-1976 | 2008-04-01 |
| 1861925356 | Steven Madsen | General Practice | 21 South Rd, Farmington, CT 06032-2482 | 2017-04-11 |
| 1215323183 | Alireza Shams | General Practice | 263 Farmington Ave, Farmington, CT 06030-1004 | 2015-04-08 |
| 1184037723 | Namita Akolkar | General Practice | 263 Farmington Ave, Farmington, CT 06030-3955 | 2014-06-10 |
| 1417263534 | George H Peacock Md PC | General Practice | 804 E Navajo St, Farmington, NM 87401-9119 | 2010-08-26 |
| 1336469592 | Sujit Michael Ray | General Practice | 76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 | 2010-06-10 |
| 1922326057 | Ashraf Mohammad | General Practice | 22821 Orchard Lake Rd, Farmington, MI 48336-3230 | 2010-05-13 |
| 1326114927 | Robert C. Orr | General Practice | 22821 Orchard Lake Rd, Farmington, MI 48336-3230 | 2006-11-27 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 72730 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.