MED (NPI# 1225317621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225317621 |
| Entity Type | Organization |
| Organization Name | MED |
| Practice Address |
1604 Merrill Dr Little Rock AR 72211-1818 |
| Practice Telephone | 5012405748 |
| Mailing Telephone | 5012405748 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | MR. ERIC G WARE (OWNER) |
| Authorized Official Telephone | 5012405748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
AR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MED & AD, INC | 338 Quarry Street, Fall River, MA 02720 |
| Indiana Business Entities | MED & ASSOCIATES LLC | 8485 Taney Street, Merrillville, IN 46410 |
| System for Award Management (SAM) Entities | MED & MATH | 29334 Crest View Ln, Highland, CA 92346-5477 |
| New York State Corporations | MED & PHARM PLACEMENT SERVICES INC | 422 Brighton Beach Ave, Apt 2f, Brooklyn, Ny 11235 |
| New York State Corporations | MED & PHARM SUPPLY SERVICES INC | 16-14 Stephen Street, Ridgewood, Ny 11385 |
| Colorado Business Entities | Med . U.S. A. Corp. | 15350 Grant St. Ste # 140, Denver, CO 80203 |
| Virginia Business Entities | Med 1 Inter-facility Care LLC | 4028 Cedar Lane, Portsmouth, Virginia 23703 |
| Colorado Business Entities | Med 153, LLC | 14950 Raton Road, Colorado Springs, CO 80921 |
| Washington State Corporations | MED 180, LLC | 425 Queen Anne Ave N, Seattle, WA 98109-4517 |
| Virginia Business Entities | MED 2 LAB LLC | 6449 Fourth St, Alexandria, Virginia 22312 |
| Street Address |
1604 MERRILL DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073789 | Marcia Lee Walker | Speech-Language Pathologist | 1604 Merrill Dr, Little Rock, AR 72211-1818 | 2011-07-27 |
| 1972849909 | Cherin Claire Pace | Speech-Language Pathologist | 1604 Merrill Dr, Suite A, Little Rock, AR 72211-1818 | 2012-12-19 |
| 1316218589 | Amy Jo Moody | Physical Therapy Assistant | 1604 Merrill Dr, Little Rock, AR 72211-1818 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477921690 | Reed Wayne Bellew | Counselor | 1901 Dudley St, Texarkana, AR 71854-6341 | 2015-09-03 |
| 1154504710 | Keili Adiyah Lumiere | Counselor | 103 E Van Buren, Suite 149, Eureka Springs, AR 72632-3653 | 2007-12-06 |
| 1497177943 | Christopher Johnson | Counselor | 2806 Ewing Ln, Cabot, AR 72023-2114 | 2014-01-16 |
| 1801019302 | Larry P Henderson | Counselor | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2007-04-11 |
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on MED.
| 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.