ARKANSAS HEALTH GROUP (NPI# 1346317476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346317476 |
Entity Type | Organization |
Organization Name | ARKANSAS HEALTH GROUP |
Other Organization Name | ARKANSAS VASCULAR |
Practice Address |
9601 Lile Dr Ste 250 Medical Towers 1 Little Rock AR 72205-6355 |
Mailing Address |
11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 |
Practice Telephone | 5012274787 |
Mailing Telephone | 5018127587 |
Enumeration Date | 2006-11-30 |
Last Update Date | 2008-05-22 |
Authorized Official Name | TOMMY JOHNSON (PMA) |
Authorized Official Telephone | 5018127514 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 159837002 | 05 |
Other Name | Type Code |
---|---|
Arkansas Vascular | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
1568954147 | Arkansas Health Group | Obstetrics & Gynecology | 9601 Baptist Health Dr Ste 250, Little Rock, AR 72205 | 2018-05-31 |
1184127052 | Arkansas Health Group | Obstetrics & Gynecology | 3201 Springhill Dr Ste 130, North Little Rock, AR 72117-2910 | 2018-03-16 |
1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
Street Address |
9601 LILE DR STE 250 MEDICAL TOWERS 1 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-6355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778515 | Arkansas Vascular Surgery, Pllc | Surgery | 11300 N Rodney Parham Rd Ste 210, Little Rock, AR 72212-4149 | 2020-01-03 |
1760498554 | Edward C. Loebl | Surgery | 9601 Lile Drive, Suite 250, Little Rock, AR 72205-6321 | 2006-07-31 |
1619234366 | Christian Dupre Simmons | Surgery | 4301 W Markham St # 520, Little Rock, AR 72205 | 2012-04-19 |
1386872695 | Jason Leonard Muesse | Surgery | 4301 W Markham St, Little Rock, AR 72205-7101 | 2009-06-24 |
1437260577 | Cardiac and Vascular Surgeons Pa | Surgery | 9601 Lile Dr, Suite 650, Little Rock, AR 72205-6321 | 2006-08-31 |
1871504126 | Mohammed Mahmoud Moursi | Surgery | 4300 W 7th St, 112pv/lr, Little Rock, AR 72205-5446 | 2006-08-11 |
1023086170 | Robert Eugene Casali | Surgery | 9601 Lile Drive, Suite 700, Little Rock, AR 72205 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063741924 | Lon G. Bitzer, M.d., P.a. | Surgery | 1801 W 40th Ave Ste 4c, Pine Bluff, AR 71603-6961 | 2009-12-23 |
1962466748 | Donald L Patrick | Surgery | 305 Rodgers Dr, Searcy, AR 72143-7432 | 2006-04-17 |
1225416928 | Usa Vein Clinics of Little Rock, Pllc | Surgery | 609 Sw 8th St, Suite 600, Bentonville, AR 72712-7886 | 2015-05-13 |
1528220639 | Matthew Brewster Hendrich | Surgery | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2008-06-30 |
1386677789 | H K Reddy, Md | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-09 |
1194758649 | Donald J. Voelker, Md, Facc, Fscai | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
1417980806 | Girish R. Bhatt, Md, Pa | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
1164480679 | Mary Evelyn Bourland | Surgery | 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758-1452 | 2006-05-03 |
1497718266 | William R Wilson, Md | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-04-11 |
1336133826 | Heather N Leblanc | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2005-09-09 |
Find all providers with the same taxonomy |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.