JOE L. HARGROVE (NPI# 1285628065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285628065 |
| Entity Type | Individual |
| Full Name | JOE L. HARGROVE |
| Credential | M.D. |
| Practice Address |
5315 W 12th St Little Rock AR 72204-1858 |
| Practice Telephone | 5016640941 |
| Practice Fax Number | 5016663956 |
| Mailing Telephone | 5016640941 |
| Mailing Fax Number | 5016663956 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R2720 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104904001 | 05 | |
| AR | DEA | BH0843955 | 01 |
| Street Address |
5315 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806856 | Rachel Young | Nurse Practitioner | 5315 W 12th St, Little Rock, AR 72204-1858 | 2019-08-12 |
| 1275048480 | Sommer Shurae Walker | Physician Assistant | 5315 W 12th St, Little Rock, AR 72204-1858 | 2017-12-11 |
| 1356761696 | Fnu Sibghat Tul Llah | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-04-25 |
| 1689096158 | Arkansas Health Group | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-01-17 |
| 1851734453 | Valerie Beavers | Nurse Practitioner | 5315 W 12th St, Little Rock, AR 72204-1858 | 2013-04-12 |
| 1932263001 | Tara Lynne Jueschke | Physician Assistant | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-12-21 |
| 1598788341 | Frances R. Harris | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-07-25 |
| 1679567408 | Cardiology and Medicine Clinic P A | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-08 |
| 1083608889 | Anthony M Fletcher | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1316009731 | Barry F Uretsky | Internal Medicine | 4301 Marham Avenue, S-304 Shorey Building, Little Rock, AR 72205 | 2006-12-14 |
| 1760580245 | David Randal Hundley | Internal Medicine | 601 S Gaines St, Little Rock, AR 72201-4007 | 2006-09-20 |
| 1609887124 | Alex N Orsini | Internal Medicine | 9501 Lile Dr Ste 600, Little Rock, AR 72205-6231 | 2006-08-10 |
| 1891719084 | Eugene S Smith IIi | Internal Medicine | 4300 W Markham St, 111b, Little Rock, AR 72205-4024 | 2006-07-27 |
| 1265451769 | James Lynn Davis | Internal Medicine | 415 N University Ave, Little Rock, AR 72205-3108 | 2006-07-18 |
| 1871547828 | Hakan Paydak | Internal Medicine | 4301 W Markham St # 532, Little Rock, AR 72205-7199 | 2006-05-22 |
| 1073576625 | Yalcin Hacioglu | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-04-06 |
| 1861485302 | Scott L Beau | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2005-08-30 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on JOE L. HARGROVE.
| 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.