PRIME MEDICAL GROUP PLLC (NPI# 1427605153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427605153 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL GROUP PLLC |
| Practice Address |
9601 Baptist Health Dr Ste 690 Little Rock AR 72205-6328 |
| Practice Telephone | 5012278422 |
| Practice Fax Number | 5015372399 |
| Mailing Telephone | 5012278422 |
| Mailing Fax Number | 5015372399 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | RAY K PARKER (PRESIDENT) |
| Authorized Official Telephone | 5012278422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 238324002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677737 | Prime Medical Group Pllc | Dermatology | 1416 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2020-10-20 |
| 1790384808 | Prime Medical Group Pllc | Dermatology | 625 United Dr Ste 320, Conway, AR 72032-7828 | 2020-10-20 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1528667672 | Prime Medical Group Pllc | Dermatology | 315 Section Line Rd Ste A&b, Hot Springs, AR 71913-6480 | 2020-10-20 |
| 1942809058 | Prime Medical Group Pllc | Dermatology | 16115 Saint Vincent Way Ste 300, Little Rock, AR 72223-3000 | 2020-10-20 |
| 1790384899 | Prime Medical Group Pllc | Dermatology | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2020-10-20 |
| Street Address |
9601 BAPTIST HEALTH DR STE 690 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| 1013421536 | Dermatology Care of Arkansas, Pllc | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2017-11-20 |
| 1811363070 | Rebecca Denniston | Physician Assistant | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2015-08-11 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
| 1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| 1922398577 | Megan Suzanne Evans | Dermatology | 1 Childrens Way # 576, Little Rock, AR 72202-3500 | 2011-04-17 |
| 1093830150 | Terri Lynn Martin | Dermatology | 16115 Saint Vincent Way, Suite 300, Little Rock, AR 72223-3000 | 2007-03-20 |
| 1427081025 | Marla L Wirges | Dermatology | 16221 Saint Vincent Way Ste 300, Little Rock, AR 72223-9072 | 2006-07-08 |
| 1689602260 | Ling Gao | Dermatology | 4301 W. Markham, Slot 576, Dept of Dermatology, Univ of Arkansas for Med Sciences, Little Rock, AR 72205 | 2006-06-30 |
| 1447204490 | Thomas Allen Manning IIi | Dermatology | 500 S University Ste 301, Little Rock, AR 72205 | 2006-05-22 |
| 1912992843 | Daniel F Smith | Dermatology | 9601 Baptist Health Dr., Suite 690, Little Rock, AR 72205-6328 | 2005-09-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on PRIME MEDICAL GROUP PLLC.
| 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.