FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC (NPI# 1124034947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124034947 |
| Entity Type | Organization |
| Organization Name | FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC |
| Practice Address |
1119 S Van Buren St Little Rock AR 72204-1847 |
| Practice Telephone | 5016611303 |
| Practice Fax Number | 5016611323 |
| Mailing Telephone | 5016611303 |
| Mailing Fax Number | 5016611323 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. JON HARROL DODSON (PRESIDENT) |
| Authorized Official Telephone | 5016611303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
C3397 | AR | Ambulatory Health Care Facilities |
| Street Address |
1119 S VAN BUREN ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386180834 | Forest Park Healthcare | Clinic/Center | 1119 S Van Buren St, Little Rock, AR 72204-1847 | 2017-01-09 |
| 1972510238 | Christopher Dodson | Chiropractor | 1119 S Van Buren St, Little Rock, AR 72204-1847 | 2006-08-01 |
| 1588671804 | Jon Harrol Dodson | Family Medicine | 1119 S Van Buren St, Little Rock, AR 72204-1847 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841597085 | Vonda Gale Houchin, M.d. Pa | Clinic/Center | 802 N Illinois St, Harrisburg, AR 72432-1132 | 2011-02-24 |
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC.
| 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.