AUTUMN ROAD FAMILY PRACTICE, P.A, (NPI# 1629027818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629027818 |
| Entity Type | Organization |
| Organization Name | AUTUMN ROAD FAMILY PRACTICE, P.A, |
| Practice Address |
904 Autumn Rd Suite 200 Little Rock AR 72211-3737 |
| Practice Telephone | 5012276363 |
| Practice Fax Number | 5012278629 |
| Mailing Telephone | 5012276363 |
| Mailing Fax Number | 5012278629 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | COURTNEY MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 5013205403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MC0079 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 111026102 | 05 |
| Street Address |
904 AUTUMN RD SUITE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308940 | Park West Pharmacy | Pharmacy | 904 Autumn Rd, Suite 275, Little Rock, AR 72211-3702 | 2005-10-05 |
| 1578956223 | Emily Ann Fry | Nurse Practitioner | 904 Autumn Rd, Suite 200, Little Rock, AR 72211-3702 | 2015-03-05 |
| 1497046015 | John Philip Pounders Jr. | Family Medicine | 904 Autumn Rd, Suite 200, Little Rock, AR 72211-3702 | 2011-04-30 |
| 1851532071 | All for Kids Pediatric Clinic, P.a. | Pediatrics | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3702 | 2009-03-18 |
| 1457318065 | Alison Richardson | Family Medicine | 904 Autumn Rd, Suite 200, Little Rock, AR 72211 | 2006-04-27 |
| 1871557157 | Dawn Martin | Pediatrics | 904 Autumn Rd, Suite100, Little Rock, AR 72211-3742 | 2006-04-14 |
| 1194789685 | Jerry Douglas Byrum | Pediatrics | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3742 | 2006-04-13 |
| 1518921006 | Kimberly Skelley | Pediatrics | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 | 2006-04-13 |
| 1235192980 | Arkansas Health Group | Preferred Provider Organization | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 | 2006-04-11 |
| 1326001090 | Thomas Paulus | Pediatrics | 904 Autumn Rd, Suite 100, Little Rock, AR 72211-3737 | 2006-04-11 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1922513498 | Pediatric Therapy 4 Kids | Clinic/Center | 8635 Chicot Rd, Little Rock, AR 72209-4445 | 2017-12-06 |
| 1588024574 | Psycamore, LLC | Clinic/Center | 6323 Ranch Dr, Little Rock, AR 72223-4623 | 2016-03-03 |
| 1669745626 | Epoch Health | Clinic/Center | 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 | 2012-02-21 |
| 1316138092 | P. A. Hames & Associates | Clinic/Center | 12511 Cantrell Rd, Suite 101, Little Rock, AR 72223-1639 | 2007-08-07 |
| 1437209491 | Sma Medicine & Nephrology Clinic LLC | Clinic/Center | 1515 Kanis Park Dr Ste B, Little Rock, AR 72205-4569 | 2007-01-11 |
| 1275694663 | Corporate Health America, Pllc | Clinic/Center | 7 Shackleford West Blvd Ste 402, Little Rock, AR 72211-3778 | 2006-12-12 |
| 1083271894 | Natural State Womens Health, LLC | Clinic/Center | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2019-05-28 |
| 1851861041 | Arkansas Manometry LLC | Clinic/Center | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | 2018-11-29 |
| 1346753332 | Pinnacle Allergy Clinic, Pllc | Clinic/Center | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2017-11-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.