SPANISH TRACE CLINIC
NPI 1639163363
Family Medicine in Texarkana, AR

NPI Status: Active since September 08, 2005

Contact Information

1205 E 35TH ST
TEXARKANA, AR
ZIP 71854
Phone: (903) 735-5355
Fax: (903) 735-5399

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  • Organization
  • Family Medicine

About SPANISH TRACE CLINIC

This page provides the complete NPI Profile along with additional information for Spanish Trace Clinic, a primary care provider established in Texarkana, Arkansas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639163363 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Spanish Trace Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Jerry B Srtingfellow Md (Provider)

NPI
1639163363
Provider Name
SPANISH TRACE CLINIC
Entity Type
Organization
Location Address
1205 E 35TH ST TEXARKANA, AR 71854
Location Phone
(903) 735-5355
Location Fax
(903) 735-5399
Mailing Address
PO BOX 811 TEXARKANA, TX 75504
Mailing Phone
(903) 735-5355
Mailing Fax
(903) 735-5399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2005
Last Update Date
07-21-2022
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A primary care provider (PCP) like Spanish Trace Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
AR
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JERRY B SRTINGFELLOW MD

Authorized Official Title
PROVIDER
Authorized Official Phone
(903) 735-5355

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5C286OTHER (01)ARBLUE CROSS
CJ8571OTHER (01)RAILROAD MEDICARE
46KUOTHER (01)TXBLUE CROSS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639163363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669266312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 6 + 6 + 3 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639163363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629064977 JACK N HEHMEYER PA
Individual
Physician Assistant (Medical)1205 E 35TH ST
TEXARKANA, AR 71854
(903) 735-5355
1326061235 LEASA L ROACH GNP
Individual
Nurse Practitioner (Gerontology)1205 E 35TH ST
TEXARKANA, AR 71854
(903) 735-5355
1578947925 MARY WILLIAMS MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)1205 E 35TH ST
TEXARKANA, AR 71854
(903) 614-5355
1023461399 TOMMY CALDWELL
Individual
Nurse Practitioner (Family)1205 E 35TH ST
TEXARKANA, AR 71854
(903) 614-5355
1700274909MRS. PAMELA MAY APRN
Individual
Nurse Practitioner (Family)1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0080
1104169895 KELLY LESHELL HARDIN ANP, RN
Individual
Nurse Practitioner (Family)1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0080
1053840082MRS. CRYSTAL MARIE STANBERRY NP
Individual
Nurse Practitioner1205 E 35TH ST
TEXARKANA, AR 71854
(903) 735-5355
1144899873SOUTHWEST AR MEDICAL CLINIC LLC
Organization
Clinic/Center1205 E 35TH ST
TEXARKANA, AR 71854
(610) 554-3274
1104316819 PORSCHA NICOLE BRANCH FNP-BC
Individual
Nurse Practitioner (Family)1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0050
1992081491 JODY A BARHAM APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0080
1770605057 ADRIAN MICHELLE OWEN
Individual
Counselor (Professional)1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0080
1093186249EAST TEXAS BORDER HEALTH CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1205 E 35TH ST
TEXARKANA, AR 71854
(870) 216-0080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639163363, enumerated in the NPI registry as an "organization" on September 08, 2005

The provider is located at 1205 E 35th St Texarkana, Ar 71854 and the phone number is (903) 735-5355

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.