CHENAL MRI LLC (NPI# 1376503961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376503961 |
| Entity Type | Organization |
| Organization Name | CHENAL MRI LLC |
| Practice Address |
11300 Financial Centre Pkwy Suite 400 Little Rock AR 72211-3746 |
| Mailing Address |
Po Box 4003 Macon GA 31208 |
| Practice Telephone | 5012212502 |
| Practice Fax Number | 5012212504 |
| Mailing Telephone | 4787559966 |
| Mailing Fax Number | 4787559964 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. PETER O HOLLIDAY III (OWNER) |
| Authorized Official Telephone | 4784742360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5C465 | 01 |
| Street Address |
11300 FINANCIAL CENTRE PKWY SUITE 400 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346679511 | Marcel Nicorici | Radiologic Technologist | 11300 Financial Centre Pkwy, Little Rock, AR 72211-3746 | 2013-11-07 |
| 1336431378 | Jacquelyn L Wilson | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2011-05-10 |
| 1366740227 | Shawn Wayne White | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2011-03-02 |
| 1417123860 | Summer Hope Calhoun | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2008-05-06 |
| 1619154630 | Emily S Griffith | Radiologic Technologist | 11300 Financial Centre Pkwy, Little Rock, AR 72211-3746 | 2008-01-22 |
| 1659579860 | Gayla A Beaver | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2007-07-10 |
| 1235289026 | Briana Lynn Harris | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2007-01-12 |
| 1346265345 | Scott Adrian Dickson | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2006-07-12 |
| 1033161146 | Gregory Stanley Krulin | Psychiatry & Neurology | 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211-3746 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588039291 | Little Rock Mri LLC | Clinic/Center | 124 N Fillmore St, Little Rock, AR 72205-3322 | 2015-12-07 |
| 1326083973 | Baptist Health Imaging Center - Highway 10 LLC | Clinic/Center | 4200 N Rodney Parham Rd, Suite 100, Little Rock, AR 72212-2461 | 2006-06-18 |
| 1861459315 | Orthoarkansas, Pa | Clinic/Center | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730585902 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 5701 Euper Ln, Fort Smith, AR 72903-3237 | 2014-11-14 |
| 1225105018 | Open Aire Imaging Centers of America LLC | Clinic/Center | 5701 Euper Lane, Suite B, Ft Smith, AR 72903-3237 | 2006-11-29 |
| 1841384112 | Valley Diagnostics Inc | Clinic/Center | 2504 W Main St, Suite H, Russellville, AR 72801-2533 | 2006-10-03 |
| 1235149469 | Pope County Imaging | Clinic/Center | 3127 W 2nd Court, Ste A, Russellville, AR 72811 | 2006-08-09 |
| 1932169703 | Open Mri of Searcy LLC | Clinic/Center | 2019 East Race Ave, Searcy, AR 72143 | 2006-03-25 |
| 1225007115 | Open Mri of Conway LLC | Clinic/Center | 2585 Donaghey Ave, Suite 109, Conway, AR 72032-2327 | 2006-03-14 |
| 1083694012 | Northwest Arkansas Medical Imaging, Inc | Clinic/Center | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2006-01-17 |
| 1376527390 | Valley Diagnostics Inc | Clinic/Center | 2504 West Main, Suite H, Russellville, AR 72801 | 2005-12-02 |
| 1871575894 | Mri Central Little Rock Inc | Clinic/Center | 4020 Richards Rd Ste D, North Little Rock, AR 72117-2744 | 2005-11-16 |
| 1649680570 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 2000 S 42nd St, Rogers, AR 72758-2001 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on CHENAL MRI LLC.
| 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.