DR. ANDY'S FAMILY PRACTICE , PLLC (NPI# 1497996888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497996888 |
| Entity Type | Organization |
| Organization Name | DR. ANDY'S FAMILY PRACTICE , PLLC |
| Practice Address |
1809 Ozarka College Drive Mountain View AR 72560 |
| Mailing Address |
Po Box 1198 Mountain View AR 72560-1198 |
| Practice Telephone | 8702697777 |
| Mailing Telephone | 8702697777 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | MRS. VASUGIE ANANDARAJ (OFFICE MANAGER) |
| Authorized Official Telephone | 8702697777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 161503001 | 05 |
| Street Address |
1809 OZARKA COLLEGE DRIVE |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194767657 | Anandaraj Subramanium | Family Medicine | 1809 Ozarka College Drive, Mountain View, AR 72560-1198 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1306190806 | Kenneth P Chin | Clinic/Center | 555 Clyde Ave, Suite 120, Mountain View, CA 94043-2269 | 2012-11-05 |
| 1457396616 | White River Health System, Inc. | Clinic/Center | 2202 E Main St, Mountain View, AR 72560-6402 | 2006-06-19 |
| 1780076364 | Evanston Regional Hospital | Clinic/Center | 531 Parkway Drive, Mountain View, WY 82939 | 2015-02-19 |
| 1811183346 | David A. Lewis, M.d., Inc. | Clinic/Center | 2204 Grant Rd, Suite 105, Mountain View, CA 94040-3855 | 2007-09-18 |
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| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
Please comment or provide details below to improve the information on DR. ANDY'S FAMILY PRACTICE , PLLC.
| 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.