LARKUS PESNELL (NPI# 1033193966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033193966 |
| Entity Type | Individual |
| Full Name | LARKUS PESNELL |
| Credential | MD |
| Practice Address |
1127 Main St Vilonia AR 72173-9525 |
| Mailing Address |
117 S 2nd St Po Box 497 Augusta AR 72006-2309 |
| Practice Telephone | 5017966740 |
| Practice Fax Number | 5017966744 |
| Mailing Telephone | 8703472534 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | C4135 | AR | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | C-4135 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100081520A | 05 | |
| AR | 106481001 | 05 | |
| AR | ARKANSAS BREASTCARE | 770119701 | 01 |
| Street Address |
1127 MAIN ST |
| City | VILONIA |
| State | AR |
| Zip Code | 72173-9525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194232439 | Olivia K Davis | Nurse Practitioner | 1127 Main St, Vilonia, AR 72173-9525 | 2018-01-09 |
| 1902356116 | Arcare | Clinic/Center | 1127 Main St, Vilonia, AR 72173-9525 | 2016-10-12 |
| 1477606028 | Lisa Dillon | Nurse Practitioner | 1127 Main St, Vilonia, AR 72173-9525 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671908 | Michael S Palese | Physical Therapist | 1070 Main Street, Vilonia, AR 72173 | 2018-09-05 |
| 1902191968 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 10 Eagle Street, Vilonia, AR 72173 | 2011-06-17 |
| 1265693923 | Emily Mccarron | Occupational Therapist | 1164 Main Street, Vilonia, AR 72173 | 2008-06-24 |
| 1407060510 | Melissa Lynn Brewer | Speech-Language Pathologist | 10 Ridgewood Lp., Vilonia, AR 72173 | 2007-05-09 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1215030374 | Tracy Taylor | Counselor | 11eagle Dr., Vilonia, AR 72173 | 2006-09-06 |
| 1326096579 | Vilonia Chiropractic | Chiropractor | 1122 Main, Ste 4, Vilonia, AR 72173 | 2006-05-04 |
| 1750349858 | Charles Wesley Himmler | Family Medicine | 1159 Main Street, Vilonia, AR 72173 | 2006-05-01 |
| 1447760392 | Vts Inc | Occupational Therapist | 1070 Main St, Vilonia, AR 72173 | 2017-10-05 |
| 1093192338 | Crystal L. Hart | Counselor | 1112 Main St, Vilonia, AR 72173 | 2015-05-06 |
| Find all providers in zip 72173 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
| 1306480231 | Command Radiology Solutions, Inc. | General Practice | 3708 Pilot Grove Loop, Ozark, AR 72949-2488 | 2019-11-04 |
| 1215586797 | Achor Management Inc | General Practice | 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 | 2019-09-08 |
| 1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
| 1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
| 1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
| 1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 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.