PREMISE HEALTH OF ARKANSAS MEDICAL P A (NPI# 1568942977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568942977 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF ARKANSAS MEDICAL P A |
| Other Organization Name | PREMISE HEALTH - LITTLE ROCK |
| Practice Address |
11215 Hermitage Rd Ste 205 Little Rock AR 72211-3864 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 5013799054 |
| Practice Fax Number | 5013799154 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | DR. CATHERINE MOORE WOMACK (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health - Little Rock | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1558841239 | Premise Health of Arkansas Medical P A | Clinic/Center | 408 N 8th St Ste A, Rogers, AR 72756-3740 | 2018-08-21 |
| 1245710532 | Premise Health of Arkansas Medical P A | Clinic/Center | 100 Ridgeway St Ste 2, Hot Springs, AR 71901-7155 | 2018-08-16 |
| 1285114793 | Premise Health of Arkansas Medical P A | Clinic/Center | 811 N B St, Fort Smith, AR 72901-2129 | 2018-08-15 |
| 1689154189 | Premise Health of Arkansas Medical P A | Clinic/Center | 4105 Newlon Rd, Fort Smith, AR 72904-2126 | 2018-08-15 |
| 1043790470 | Premise Health of Arkansas Medical P A | Clinic/Center | 5600 Old Greenwood Rd, Fort Smith, AR 72908-6586 | 2018-08-15 |
| 1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
| 1255811758 | Premise Health of Arkansas Medical P A | Clinic/Center | 3501 Old Greenwood Rd Ste 10, Fort Smith, AR 72903-5964 | 2018-08-15 |
| 1588173231 | Premise Health of Arkansas Medical P A | Clinic/Center | Highway 205, Highland Industrial Park, Camden, AR 71701-9998 | 2017-09-26 |
| 1225202518 | Premise Health of Arkansas Medical P A | General Practice | 555 Mckee Dr, Gentry, AR 72734-8761 | 2008-04-17 |
| Street Address |
11215 HERMITAGE RD STE 205 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912430018 | Allegiant Wellness and Testosterone Replacement, Inc. | Clinic/Center | 11121 N Rodney Parham Rd Ste 2a, Little Rock, AR 72212-4158 | 2017-04-05 |
| 1912221268 | Imwell Health | Clinic/Center | 401 W Capitol Ave Ste 345, Little Rock, AR 72201-3475 | 2010-03-16 |
| 1245416007 | Medbasics Arkansas LLC | Clinic/Center | 105 N Rodney Parham Rd, Little Rock, AR 72205-2421 | 2008-01-10 |
| 1770997231 | Baptist Health Onsite Employee Clinic | Clinic/Center | 11001 Executive Center Dr, Ste 200, Little Rock, AR 72211-4316 | 2014-06-12 |
| 1215282231 | Bethesda Health and Wellness Clinic | Clinic/Center | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2012-07-16 |
| 1841593555 | Shawn Cones, M.d., Pllc, Pa | Clinic/Center | 3401 Atwood Rd, Suite B, Little Rock, AR 72206-6012 | 2010-12-20 |
| 1427379387 | Full Potential | Clinic/Center | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2010-06-15 |
| 1609058643 | Carter Family Medicine Clinic, Pllc | Clinic/Center | 500 S University Ave, Suite 521, Little Rock, AR 72205-5302 | 2007-12-01 |
| 1801017595 | Evergreen Internal Medicine Pllc | Clinic/Center | 1100 N University Ave, Suite 125, Little Rock, AR 72207-6343 | 2007-05-01 |
| 1851436117 | Pinnacle Family Medicine, P.a. | Clinic/Center | 11321 Interstate 30, Suite 202, Little Rock, AR 72209-7040 | 2007-02-21 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on PREMISE HEALTH OF ARKANSAS MEDICAL P A.
| 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.