OrganizationActive
Urban Medical Clinic
NPI 1295030815 · General Practice Physician · Cherokee Village, AR
Provider details
- NPI number
- 1295030815
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Douglas, Billing Manager(870) 424-5079
- License
- R3890 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 West Cherokee Village Mall #12
Cherokee Village, AR 72529
Phone: (870) 257-4110
Fax: (870) 257-4112
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 310
Mountain Home, AR 72654-0310
Registry dates
- Enumerated
- 2011-01-12
- Last updated
- 2011-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.