DR. WILLIS COURTNEY JR. (NPI# 1467418228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467418228 |
| Entity Type | Individual |
| Full Name | DR. WILLIS COURTNEY JR. |
| Credential | MD |
| Practice Address |
5100 West 12th Street Little Rock AR 72204 |
| Mailing Address |
Po Box 56170 Little Rock AR 72215 |
| Practice Telephone | 5016632200 |
| Practice Fax Number | 5016637200 |
| Mailing Telephone | 5016632200 |
| Mailing Fax Number | 5016637200 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
C7679 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUAL CHOICE | 15303000000 | 01 |
| Street Address |
5100 WEST 12TH STREET |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
| 1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
| 1548490428 | Sanjeeva Reddy Onteddu | Psychiatry & Neurology | 508 Gamble Rd, Little Rock, AR 72211-3210 | 2009-07-25 |
| 1457517864 | Vasuki Dandu | Psychiatry & Neurology | 9600 Baptist Health Drive, Suite 320, Little Rock, AR 72205-6322 | 2008-08-05 |
| 1437370467 | Donald Paul Brady | Psychiatry & Neurology | 430 W 7th St, Little Rock, AR 72201 | 2007-05-01 |
| 1073733341 | Mary J Searcy Mdpa | Psychiatry & Neurology | 9601 Interstate I 630, Little Rock, AR 72205 | 2007-04-27 |
| 1346610946 | Arkansas Health Group | Psychiatry & Neurology | 9601 Baptist Health Dr Ste 750, Little Rock, AR 72205-6370 | 2015-09-25 |
| 1750776993 | Humaira Khan | Psychiatry & Neurology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2015-04-04 |
| 1720408354 | Erika Horta | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2014-04-22 |
| 1255771465 | Nidhi Kapoor | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2013-07-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.