LANDMARK MEDICAL OF ARKANSAS PA (NPI# 1790382059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790382059 |
| Entity Type | Organization |
| Organization Name | LANDMARK MEDICAL OF ARKANSAS PA |
| Practice Address |
425 W Capitol Ave Ste 425 Little Rock AR 72201-3424 |
| Mailing Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
| Practice Telephone | 5012098671 |
| Mailing Telephone | 6574005180 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MICHAEL LE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6574005180 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
425 W CAPITOL AVE STE 425 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72201-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612209 | Hagood Holdings, LLC | In Home Supportive Care | 922 W. 6th Street, Little Rock, AR 72201 | 2019-04-26 |
| 1891045464 | Nathan James Winter | Occupational Therapist | 26 Corporate Hill Dr., Little Rock, AR 72201 | 2012-09-11 |
| 1154627941 | Clement Wade Fox | Internal Medicine | 320 W. Capitol, Little Rock, AR 72201 | 2011-01-27 |
| 1245462514 | Consevella A James | Social Worker | 700 West 4th Street, Treatment Homes, Inc., Little Rock, AR 72201 | 2009-08-20 |
| 1174775688 | Martha Ann Nixon | Physical Therapist | 801 W. Markham, Little Rock, AR 72201 | 2008-10-15 |
| 1144478256 | Christy Denise Allen | Local Education Agency (LEA) | 810 W Markham, Little Rock, AR 72201 | 2008-09-03 |
| 1437370467 | Donald Paul Brady | Psychiatry & Neurology | 430 W 7th St, Little Rock, AR 72201 | 2007-05-01 |
| 1396863700 | Eugene Robert Gerst Jr. | Counselor | 820 W 6th Street, Ste 200, Little Rock, AR 72201 | 2007-03-26 |
| 1194841783 | The Care Center, Inc | Counselor | 820 W6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| 1992821508 | Rellia Ann Dillinger | Counselor | 820 W 6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| Find all providers in zip 72201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1861817298 | Epoch Health- Little Rock, Pllc | General Practice | 801 S. Bowman Road, Suite 3, Little Rock, AR 72211 | 2014-02-21 |
| 1326341488 | University of Arkansas for Medical Sciences | General Practice | 4301 W Markham St # 528, Little Rock, AR 72205-7101 | 2010-12-13 |
| 1932419801 | David A. Morton IIi | General Practice | 12503 Pleasant View Dr, Little Rock, AR 72212-2222 | 2010-10-13 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| 1790891448 | Thomas T Jefferson | General Practice | 1100 N University Ave Ste 260, Little Rock, AR 72207-6367 | 2006-08-22 |
| 1528014016 | Carol Sue Caruthers | General Practice | 6924 Geyer Springs Rd, Little Rock, AR 72209 | 2006-05-26 |
| 1770551665 | Robert L. Barrow | General Practice | 600 Autumn Rd, Little Rock, AR 72211-3606 | 2006-03-08 |
| 1063038370 | University of Arkansas for Medical Sciences | General Practice | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-06-23 |
| 1336533041 | University of Arkansas for Medical Sciences | General Practice | 1 Childrens Way # 653, Little Rock, AR 72202 | 2015-03-20 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72201 |
Please comment or provide details below to improve the information on LANDMARK MEDICAL OF ARKANSAS PA.
| 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.