MEDICARE: DR. JAMES PHILIP ELKINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	C-4703	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C4703	OTHER	AR	AR LICENSE #

General Provider Information

NPI Number	:	1780784975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PHILIP ELKINS M.D.

Provider Business Mailing Address
First Line	:	201 S 19TH ST
Second Line	:	SUITE S
City	:	ROGERS
State	:	AR
Zip	:	72758-1119
Country	:	US
Telephone Number	:	479-636-0300
Fax Number	:	479-636-4576

Provider Business Practice Location Address
First Line	:	201 S 19TH ST
Second Line	:	SUITE S
City	:	ROGERS
State	:	AR
Zip	:	72758-1119
Country	:	US
Telephone Number	:	479-636-0300
Fax Number	:	479-636-4576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	02/15/2026

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