MED IMAGING OF ARKANSAS, PLLC (NPI# 1760660351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760660351 |
| Entity Type | Organization |
| Organization Name | MED IMAGING OF ARKANSAS, PLLC |
| Other Organization Name | MED IMAGING OF ARKANSAS |
| Practice Address |
6948 Alcoa Rd Suite G Benton AR 72015-9726 |
| Practice Telephone | 5017789729 |
| Practice Fax Number | 5017762695 |
| Mailing Telephone | 5017789729 |
| Mailing Fax Number | 5017762695 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | MS. BONNIE J. ROAN (ADMINISTRATION MANAGER) |
| Authorized Official Telephone | 5017789729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | WINDSOR | 1760660351 | 01 |
| AR | UHC | 2919223 | 01 |
| AR | CIGNA | 4444567 | 01 |
| AR | 171546002 | 05 | |
| AR | RAILROAD MEDICARE | P00685566 | 01 |
| Other Name | Type Code |
|---|---|
| Med Imaging of Arkansas | Doing Business As Name - Organization |
| Street Address |
6948 ALCOA RD SUITE G |
| City | BENTON |
| State | AR |
| Zip Code | 72015-9726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527001 | North Lr Medical Imaging LLC | Clinic/Center | 3320 Springhill Dr, Suite 200, N Little Rock, AR 72117-2922 | 2013-01-07 |
| 1073719423 | South Arkansas Open Mri LLC | Clinic/Center | 2401 W Hillsboro St, El Dorado, AR 71730-6815 | 2007-06-22 |
| 1487778593 | Us Radiology Partners of Texas Inc | Clinic/Center | 4201 Clubhouse Dr, Jonesboro, AR 72401-8078 | 2007-03-16 |
| 1568506715 | Arkansas Mri Services LLC | Clinic/Center | 1703 Phyllis St, Suite 101, Bentonville, AR 72712-7094 | 2007-02-19 |
| 1467492009 | Cabot Imaging Center, LLC | Clinic/Center | 2039 West Main Street, Suite A, Cabot, AR 72023 | 2006-06-08 |
| 1588265003 | Brittany Barber, Pllc | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-11-02 |
| 1013522127 | Sarc By Hsh Asc Pine Bluff | Clinic/Center | 7200 S Hazel St, Pine Bluff, AR 71603-7836 | 2020-09-15 |
| 1568086940 | Lansdell Enterprise Corp | Clinic/Center | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | 2020-06-02 |
| 1649715681 | Chaffee Diagnostics LLC | Clinic/Center | 11300 Roberts Blvd, Fort Smith, AR 72916-6027 | 2016-12-29 |
| 1457706376 | 360 Imaging LLC | Clinic/Center | 3320 Springhill Dr, North Little Rock, AR 72117-2922 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
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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.