WOUND CARE CONSULTANTS OF LITTLE ROCK, PLLC (NPI# 1417216474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417216474 |
Entity Type | Organization |
Organization Name | WOUND CARE CONSULTANTS OF LITTLE ROCK, PLLC |
Practice Address |
106 S Rodney Parham Rd Little Rock AR 72205-4708 |
Mailing Address |
317 Ridgeway Dr Little Rock AR 72205-4250 |
Practice Telephone | 5013498030 |
Practice Fax Number | 5013532143 |
Mailing Telephone | 5013498030 |
Mailing Fax Number | 5013532143 |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-05-11 |
Authorized Official Name | GARY VILLINES (PRESIDENT) |
Authorized Official Telephone | 5013498030 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
C4980 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | PHYSICIAN LICENSE NUMBER | C4980 | 01 |
AR | 102792001 | 05 |
Street Address |
106 S RODNEY PARHAM RD |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114914033 | Darnell Drug Company Inc | Pharmacy | 106 S Rodney Parham Rd, Little Rock, AR 72205-4708 | 2005-10-05 |
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 | 207PE0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Undersea and Hyperbaric Medicine |
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
1811921588 | Arkansas Hyperbaric Associates | Emergency Medicine | 2 St Vincent Cir, Little Rock, AR 72205 | 2006-07-10 |
1427684075 | Saline Investment Group Inc | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2020-03-16 |
1194053074 | Earl Feurtado, Md, Pllc | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2009-12-03 |
1073738035 | George R Hutchison, Md,pa | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2007-04-16 |
1659596633 | Loretta Depalo, M.d, P.a. | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2007-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891926796 | Advanced Wound Care & Hyperbarics, Pa | Emergency Medicine | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2009-07-27 |
1316188774 | Arkansas Health Group | Emergency Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2009-03-16 |
1104041292 | Robert A. Council, Jr., Md, Pa | Emergency Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2007-04-16 |
1831274810 | Robert A. Council | Emergency Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2006-10-26 |
1427146174 | Craig Wrigley Pickren | Emergency Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2006-10-10 |
1083644959 | Gary Wayne Villines | Emergency Medicine | 24 Norris St, Emer Dept, Eureka Springs, AR 72632-3541 | 2006-07-04 |
1982688800 | Byron Kevin Beaver | Emergency Medicine | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2005-12-05 |
City | LITTLE ROCK |
Zip Code | 72205 |
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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.