MEDBASICS ARKANSAS LLC (NPI# 1245416007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245416007 |
| Entity Type | Organization |
| Organization Name | MEDBASICS ARKANSAS LLC |
| Practice Address |
105 N Rodney Parham Rd Little Rock AR 72205-2421 |
| Mailing Address |
Po Box 671621 Dallas TX 75267-1621 |
| Practice Telephone | 5012211831 |
| Practice Fax Number | 5012211841 |
| Mailing Telephone | 9725807700 |
| Mailing Fax Number | 9725807715 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | JODI KRUSELY (ACCOUNT MANAGER) |
| Authorized Official Telephone | 8478383832 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDBASICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
105 N RODNEY PARHAM RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063736791 | Easy Access Healthcare Medical Clinic | Clinic/Center | 105 N Rodney Parham Rd, Little Rock, AR 72205-2421 | 2010-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568942977 | Premise Health of Arkansas Medical P A | Clinic/Center | 11215 Hermitage Rd Ste 205, Little Rock, AR 72211-3864 | 2018-08-15 |
| 1912430018 | Allegiant Wellness and Testosterone Replacement, Inc. | Clinic/Center | 11121 N Rodney Parham Rd Ste 2a, Little Rock, AR 72212-4158 | 2017-04-05 |
| 1912221268 | Imwell Health | Clinic/Center | 401 W Capitol Ave Ste 345, Little Rock, AR 72201-3475 | 2010-03-16 |
| 1770997231 | Baptist Health Onsite Employee Clinic | Clinic/Center | 11001 Executive Center Dr, Ste 200, Little Rock, AR 72211-4316 | 2014-06-12 |
| 1215282231 | Bethesda Health and Wellness Clinic | Clinic/Center | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2012-07-16 |
| 1841593555 | Shawn Cones, M.d., Pllc, Pa | Clinic/Center | 3401 Atwood Rd, Suite B, Little Rock, AR 72206-6012 | 2010-12-20 |
| 1427379387 | Full Potential | Clinic/Center | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2010-06-15 |
| 1609058643 | Carter Family Medicine Clinic, Pllc | Clinic/Center | 500 S University Ave, Suite 521, Little Rock, AR 72205-5302 | 2007-12-01 |
| 1801017595 | Evergreen Internal Medicine Pllc | Clinic/Center | 1100 N University Ave, Suite 125, Little Rock, AR 72207-6343 | 2007-05-01 |
| 1851436117 | Pinnacle Family Medicine, P.a. | Clinic/Center | 11321 Interstate 30, Suite 202, Little Rock, AR 72209-7040 | 2007-02-21 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MEDBASICS ARKANSAS LLC.
| 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.