PREMIER GASTROENTEROLOGY ASSOCIATES PLLC (NPI# 1073079596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073079596 |
| Entity Type | Organization |
| Organization Name | PREMIER GASTROENTEROLOGY ASSOCIATES PLLC |
| Other Organization Name | PREMIER SURGERY CENTER |
| Practice Address |
10915 Rodney Parham Rd Suite A Little Rock AR 72212-7221 |
| Mailing Address |
Po Box 26618 Little Rock AR 72221-6601 |
| Practice Telephone | 5017472828 |
| Practice Fax Number | 5017472868 |
| Mailing Telephone | 5013135200 |
| Mailing Fax Number | 5017472868 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | MR. WILLIAM E. GREENE (CEO) |
| Authorized Official Telephone | 5013135200 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER GASTROENTEROLOGY ASSOCIATES PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| Street Address |
10915 RODNEY PARHAM RD SUITE A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675285 | Orthoarkansas Spine Institute Procedure Center LLC | Clinic/Center | 800 Fair Park Blvd Ste 300, Little Rock, AR 72204-1720 | 2020-10-07 |
| 1679001028 | Centerview Surgery Center, LLC | Clinic/Center | 1310 Centerview Dr, Little Rock, AR 72211-4349 | 2017-05-30 |
| 1386177376 | Executive Surgery Center of Little Rock, LLC | Clinic/Center | 11220 Executive Center Dr, Suite 100, Little Rock, AR 72211-4320 | 2017-04-06 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1588876817 | Freeway Surgery Center LLC | Clinic/Center | 5800 West Tenth Street, Suite 206, Little Rock, AR 72204 | 2007-05-07 |
| 1487776365 | Seymour Operations LLC | Clinic/Center | 200 N Van Buren St, Little Rock, AR 72205-3650 | 2007-04-04 |
| 1588603351 | Physician's Day Surgery Center | Clinic/Center | 17200 Chenal Pkwy Ste 440, Little Rock, AR 72223-5970 | 2006-06-06 |
| 1063470730 | Endoscopy Center of Arkansas, LLC | Clinic/Center | 1024 N University Ave, Little Rock, AR 72207-6347 | 2006-05-03 |
| 1659340404 | Little Rock Surgery Center, LLC | Clinic/Center | 8820 Knoedl Ct, Little Rock, AR 72205-4600 | 2006-03-15 |
| 1215919329 | Gastro-intestinal Center Inc | Clinic/Center | 405 N University Ave, Little Rock, AR 72205-3108 | 2005-11-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on PREMIER GASTROENTEROLOGY ASSOCIATES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.