CHARLES ROY KLEPPER ET AL PTRS – NPI #1245345958
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

CHARLES ROY KLEPPER ET AL PTRS is a provider located in HARRISON, AR. NPPES has assigned the NPI number 1245345958 to CHARLES ROY KLEPPER ET AL PTRS on August 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHARLES ROY KLEPPER ET AL PTRS is also known by the name MAIN STREET MEDICAL CLINIC. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 12 years ago on Apr 30, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES ROY KLEPPER ET AL PTRS below.

NPI Profile for
CHARLES ROY KLEPPER ET AL PTRS

NPI Number
1245345958
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES ROY KLEPPER ET AL PTRS
Other Name: MAIN STREET MEDICAL CLINIC
Primary location
707 N MAIN ST
HARRISON, AR 72601-2912
Phone: (870) 741-3592 Fax: (870) 741-7733
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES KLEPPER
OWNER
Phone: (870) 741-3592
Updated
Identifiers

Identifiers for CHARLES ROY KLEPPER ET AL PTRS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERARK. BLUE SHIELDAR5B704
MEDICAIDAR127780002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.