MARLA L WIRGES (NPI# 1427081025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427081025 |
| Entity Type | Individual |
| Full Name | MARLA L WIRGES |
| Credential | M.D. |
| Practice Address |
16221 Saint Vincent Way Ste 300 Little Rock AR 72223-9072 |
| Practice Telephone | 5018173923 |
| Practice Fax Number | 5018173930 |
| Mailing Telephone | 5018173923 |
| Mailing Fax Number | 5018173930 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | E-5842 | AR | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | M2205 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 150336101 | 05 | |
| OK | 200086270A | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8J1461 | 01 |
| NM | 13588737 | 05 | |
| TX | FIRSTCARE COMMERCIAL | 150336100 | 01 |
| TX | 181172102 | 05 | |
| NM | PRESBYTERIAN COMMERCIAL | 202008119 | 01 |
| NM | 202008119 | 05 | |
| AR | 174846001 | 05 | |
| TX | 181172101 | 05 | |
| TX | HMO BLUE | 8M1174 | 01 |
| Street Address |
16221 SAINT VINCENT WAY STE 300 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
| 1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| 1922398577 | Megan Suzanne Evans | Dermatology | 1 Childrens Way # 576, Little Rock, AR 72202-3500 | 2011-04-17 |
| 1093830150 | Terri Lynn Martin | Dermatology | 16115 Saint Vincent Way, Suite 300, Little Rock, AR 72223-3000 | 2007-03-20 |
| 1689602260 | Ling Gao | Dermatology | 4301 W. Markham, Slot 576, Dept of Dermatology, Univ of Arkansas for Med Sciences, Little Rock, AR 72205 | 2006-06-30 |
| 1447204490 | Thomas Allen Manning IIi | Dermatology | 500 S University Ste 301, Little Rock, AR 72205 | 2006-05-22 |
| 1912992843 | Daniel F Smith | Dermatology | 9601 Baptist Health Dr., Suite 690, Little Rock, AR 72205-6328 | 2005-09-16 |
| 1427043595 | Gunnar H Gibson | Dermatology | 4200 N Rodney Parham Rd, Suite 202, Little Rock, AR 72212-2461 | 2005-09-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
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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.