RESORT RADIOLOGY, PLLC (NPI# 1144853821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144853821 |
| Entity Type | Organization |
| Organization Name | RESORT RADIOLOGY, PLLC |
| Practice Address |
13107 Colonel Glenn Rd Little Rock AR 72210-2319 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 8666018435 |
| Practice Fax Number | 4799681673 |
| Mailing Telephone | 8666018435 |
| Mailing Fax Number | 4799681673 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DEVON HOLDER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5015545277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
13107 COLONEL GLENN RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164713061 | Jackson Mott Farrow | Radiology | 1115 W 3rd St, Little Rock, AR 72201-2007 | 2011-04-26 |
| 1366733404 | Steven Matthew Wright | Radiology | 17310 Lamarche Blvd, Little Rock, AR 72223-9125 | 2011-04-24 |
| 1477888204 | Raja Shaikh | Radiology | 4301 W Markham St Dept Of, Slot #556,university of Arkansas for Meidcal Sciences, Little Rock, AR 72205-7101 | 2009-10-13 |
| 1205066859 | Peter Lindley | Radiology | 9708 Overby Ct, Little Rock, AR 72205-1514 | 2009-07-16 |
| 1992947204 | Charles Drew Sessions | Radiology | 14 Lorna Dr, Little Rock, AR 72205-2533 | 2009-04-01 |
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1538341391 | Seark Radiology Pa | Radiology | 19 Hickory Hills Cir, Ste 2c, Little Rock, AR 72212-2766 | 2007-12-03 |
| 1821282971 | Asima Yousaf | Radiology | 2015 Wellington Plantation Dr, Little Rock, AR 72211-2093 | 2007-08-31 |
| 1467674606 | Kalyani Vallurupalli | Radiology | 11 Hoggards Rdg, Little Rock, AR 72211-3795 | 2007-05-03 |
| 1598843989 | Arkansas Specialty Radiology, Pllc | Radiology | 1115 West 3rd Street, Little Rock, AR 72201-2007 | 2006-11-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72210 |
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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.