CHARLES ROY KLEPPER ET AL PTRS NPI 1245345958

NPI Information

NPI: 1245345958
Provider Name: CHARLES ROY KLEPPER ET AL PTRS
Classification: Family Medicine - 207QG0300X
Specialization: Geriatric Medicine
Entity Type: Organization
Other Name: MAIN STREET MEDICAL CLINIC
Address: 707 N MAIN ST
HARRISON, AR
ZIP 72601
Phone: (870) 741-3592

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NPI Details

CHARLES ROY KLEPPER ET AL PTRS is a geriatric medicine family medicine in Harrison, AR. The provider is 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 NPI is 1245345958. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Main Street Medical Clinic.

The provider's business location address is:

707 N MAIN ST
HARRISON, AR
ZIP 72601-912
Phone: (870) 741-3592
Fax: (870) 741-7733

The provider's authorized official is Charles R. Klepper .
The authorized official title is Owner and has the following contact phone number (870) 741-3592.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 4/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5B704	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	ARK. MEDICARE
2	127780002	MEDICAID	ARKANSAS
3	CF9957	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	RAILROAD MEDICARE
4	5B704	OTHER	ARKANSAS	ARK. BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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