JP WORNOCK, MD, PA (NPI# 1407307788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407307788 |
| Entity Type | Organization |
| Organization Name | JP WORNOCK, MD, PA |
| Other Organization Name | PRIMECARE MEDICAL CLINIC |
| Practice Address |
2504 Mccain Blvd Ste 118 North Little Rock AR 72116-7607 |
| Practice Telephone | 5018126655 |
| Practice Fax Number | 5018126677 |
| Mailing Telephone | 5018126655 |
| Mailing Fax Number | 5018126677 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | EMILY HARRELL (HUMAN CAPITAL COORDINATOR) |
| Authorized Official Telephone | 5017641800 |
| Is Organization Subpart | Y |
| Parent Organization Name | JP WORNOCK, MD, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | BL2016-00512 | AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PrimeCare Medical Clinic | Doing Business As Name - Organization |
| Street Address |
2504 MCCAIN BLVD STE 118 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423309 | Arkansas Allergy & Asthma Clinic, P.a. | Allergy & Immunology | 2504 Mccain Blvd, Suite 118, North Little Rock, AR 72116-7608 | 2006-03-31 |
| 1457526790 | Arkansas Pain Center Physical Therapy | Physical Therapist | 2504 Mccain Blvd, North Little Rock, AR 72116-7607 | 2008-04-28 |
| 1164623070 | Michael L. Fox D.d.s. | Dentist | 2504 Mccain Blvd, Suite 200, North Little Rock, AR 72116-7607 | 2007-05-29 |
| 1871666446 | Gary M Petrus Md Pa | Surgery | 2504 Mccain Blvd, Suite 114, North Little Rock, AR 72116-7624 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
| 1508108416 | Encore Health, P.a. | Clinic/Center | 4617 E Mccain Blvd, North Little Rock, AR 72117-2904 | 2013-03-19 |
| 1013407741 | The Center Health & Wellness | Clinic/Center | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116-8247 | 2018-05-17 |
| 1487067849 | Neurology of Arkansas Pa | Clinic/Center | 2400 Crestwood Rd, Suite 101, North Little Rock, AR 72116-7067 | 2014-06-03 |
| 1447495049 | Steven F. Molpus, D.d.s., P.l.c. | Clinic/Center | 2501 Crestwood Rd, Suite 302, North Little Rock, AR 72116-6864 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
| 1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
| 1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
| 1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
| 1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
| 1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
| 1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
| 1821566647 | Conway Vein and Vascular | Clinic/Center | 650 United Dr Ste 320, Conway, AR 72032-7826 | 2018-11-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
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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.