PREMISE HEALTH OF ARKANSAS MEDICAL P A (NPI# 1225202518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225202518 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF ARKANSAS MEDICAL P A |
| Other Organization Name | MCKEE PERSONAL HEALTH CLINIC |
| Practice Address |
555 Mckee Dr Gentry AR 72734-8761 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4793268670 |
| Practice Fax Number | 4793268671 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| 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 |
| Other Name | Type Code |
|---|---|
| McKee Foods Family Health Center Gentry | Doing Business As Name - Organization |
| McKee Health Clinic Gentry | Doing Business As Name - Organization |
| McKee Personal Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1558841239 | Premise Health of Arkansas Medical P A | Clinic/Center | 408 N 8th St Ste A, Rogers, AR 72756-3740 | 2018-08-21 |
| 1245710532 | Premise Health of Arkansas Medical P A | Clinic/Center | 100 Ridgeway St Ste 2, Hot Springs, AR 71901-7155 | 2018-08-16 |
| 1285114793 | Premise Health of Arkansas Medical P A | Clinic/Center | 811 N B St, Fort Smith, AR 72901-2129 | 2018-08-15 |
| 1689154189 | Premise Health of Arkansas Medical P A | Clinic/Center | 4105 Newlon Rd, Fort Smith, AR 72904-2126 | 2018-08-15 |
| 1043790470 | Premise Health of Arkansas Medical P A | Clinic/Center | 5600 Old Greenwood Rd, Fort Smith, AR 72908-6586 | 2018-08-15 |
| 1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
| 1568942977 | Premise Health of Arkansas Medical P A | Clinic/Center | 11215 Hermitage Rd Ste 205, Little Rock, AR 72211-3864 | 2018-08-15 |
| 1255811758 | Premise Health of Arkansas Medical P A | Clinic/Center | 3501 Old Greenwood Rd Ste 10, Fort Smith, AR 72903-5964 | 2018-08-15 |
| 1588173231 | Premise Health of Arkansas Medical P A | Clinic/Center | Highway 205, Highland Industrial Park, Camden, AR 71701-9998 | 2017-09-26 |
| Street Address |
555 MCKEE DR |
| City | GENTRY |
| State | AR |
| Zip Code | 72734-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942724638 | Stefanie Fatemeh Barr | Family Medicine | 555 Mckee Dr, Gentry, AR 72734-8761 | 2017-08-03 |
| 1760917512 | Quadmed Medical Clinics of Arkansas | Clinic/Center | 555 Mckee Dr, Gentry, AR 72734-8761 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314574 | Scott David Stubbs | Dentist | 304 East Main, Gentry, AR 72734 | 2007-04-16 |
| 1760534226 | Alan L Lamb | Dentist | 304 E Main, Gentry, AR 72734 | 2007-01-17 |
| 1124182142 | Ford Dental Care | Dentist | 125 N Rust Ave, Gentry, AR 72734 | 2006-12-21 |
| 1225080286 | Robert H Weaver | Family Medicine | 643 E Third St, Gentry, AR 72734 | 2006-05-17 |
| 1487646022 | Jerry Derek Ford | Dentist | 125 North Rust Ave, Gentry, AR 72734 | 2005-08-19 |
| 1033356472 | Gentry Family Dentistry Pllc | Dentist | 304 E Main, Gentry, AR 72734 | 2009-01-07 |
| 1609488758 | Kaylin Gene Cripps | Occupational Therapist | 302 W 2nd St, Gentry, AR 72734-5502 | 2020-08-20 |
| 1255410999 | Smith Drug Pllc | Durable Medical Equipment & Medical Supplies | 695 E 3rd St, Gentry, AR 72734-8258 | 2006-11-03 |
| 1861482739 | Catherine Elaine Casey | Nurse Practitioner | 643 E 3rd St, Gentry, AR 72734-8258 | 2005-10-24 |
| 1003388570 | Emily Smith | Pharmacist | 695 E 3rd St, Gentry, AR 72734-8258 | 2018-12-21 |
| Find all providers in zip 72734 | ||||
| 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.