PLEASANT VALLEY FAMILY CLINIC (NPI# 1578524856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578524856 |
| Entity Type | Organization |
| Organization Name | PLEASANT VALLEY FAMILY CLINIC |
| Practice Address |
11719 Hinson Rd Suite 110 Little Rock AR 72212 |
| Practice Telephone | 5012242875 |
| Practice Fax Number | 5012246357 |
| Mailing Telephone | 5012242875 |
| Mailing Fax Number | 5012246357 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARITY S DULIN (OFFICE MANAGER) |
| Authorized Official Telephone | 5012242875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E1810 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 1350103001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890360 | Pleasant Valley Family Clinic | Family Medicine | 11719 Hinson Rd, Suite 110, Little Rock, AR 72212-3402 | 2007-04-18 |
| Street Address |
11719 HINSON RD SUITE 110 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942491105 | Arkansas Health Group | Family Medicine | 11719 Hinson Rd, Suite 110, Little Rock, AR 72212-3402 | 2007-08-05 |
| 1689890360 | Pleasant Valley Family Clinic | Family Medicine | 11719 Hinson Rd, Suite 110, Little Rock, AR 72212-3402 | 2007-04-18 |
| 1942261433 | Jerry L Carter | Family Medicine | 11719 Hinson Rd, Ste 110, Little Rock, AR 72212-3402 | 2006-04-01 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1831709997 | Wound Integrity Arkansas Pa | Family Medicine | 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 | 2020-08-04 |
| 1235762816 | Cynthia Johnson | Family Medicine | 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 | 2020-02-21 |
| 1801246129 | John Freeland Jayroe | Family Medicine | 701 N University Ave Ste 100, Little Rock, AR 72205-2936 | 2016-06-17 |
| 1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
| 1669867099 | John Allen Cockerell | Family Medicine | 5423 L St, Little Rock, AR 72205-1726 | 2015-04-02 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1790198133 | Muhammad Yusuf | Family Medicine | 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 | 2014-06-03 |
| 1598184103 | Stephen A Humbard Md Pa | Family Medicine | 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 | 2014-04-10 |
| 1215360144 | George Franklin Holitik | Family Medicine | 4617 Stonewall Rd, Little Rock, AR 72207-2053 | 2013-08-14 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
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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.