Organization
PHILLIP SUFFRIDGE,M.D.,P.A.
Active
Organization
PHILLIP SUFFRIDGE,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP SUFFRIDGE M.D. (PRESIDENT)
(501) 778-1113
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK DR, SUITE 300, BENTON, AR 72015-3728
(501) 778-1113
(501) 778-5391
Mailing address
3 MEDICAL PARK DR, SUITE 300, BENTON, AR 72015-3728
(501) 778-1113
(501) 778-5391
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06040018300
QUALCHOICE
AR
Enumeration date
02/12/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up