PREMISE HEALTH OF ARKANSAS MEDICAL P A (NPI# 1659985570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659985570 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF ARKANSAS MEDICAL P A |
| Practice Address |
3307 N 2nd St Rogers AR 72756-0001 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4796597920 |
| Practice Fax Number | 4796597930 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| 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 |
|---|---|
| Nabholz Wellness Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568942977 | Premise Health of Arkansas Medical P A | Clinic/Center | 11215 Hermitage Rd Ste 205, Little Rock, AR 72211-3864 | 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 |
3307 N 2ND ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477984979 | Robert R. Hull, M.d., P.a. | Clinic/Center | 1301 W Persimmon St, Rogers, AR 72756-3345 | 2013-12-09 |
| 1326592841 | Keever Pediatrics Pa | Clinic/Center | 5507 W Walsh Ln Ste 101, Rogers, AR 72758-9007 | 2016-08-12 |
| 1184074593 | Stuart J. Benson, D.o., P.a. | Clinic/Center | 808 S 52nd St, Suite 201, Rogers, AR 72758-8602 | 2016-06-16 |
| 1922457647 | James B Baker Do Pa | Clinic/Center | 808 S 52nd St, Suite #201, Rogers, AR 72758-8602 | 2016-06-03 |
| 1437409109 | Apex Family Medical Clinic, P.a. | Clinic/Center | 5206 Village Pkwy Ste 10, Rogers, AR 72758-8137 | 2012-09-11 |
| 1215230388 | Ryan D. Monson, P.a. | Clinic/Center | 302 N 8th St, Suite 1, Rogers, AR 72756-3738 | 2010-12-13 |
| 1124210760 | Fairview Clinics | Clinic/Center | 14040 Northdale Blvd, Ste 10, Rogers, MN 55374-9612 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134603 | Sheridan Family Clinic, Pllc | Clinic/Center | 109 W Pine St Ste A, Sheridan, AR 72150-2443 | 2020-11-03 |
| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 1033773932 | Arcare | Clinic/Center | 1801 Central Ave Ste F, Hot Springs, AR 71901-6800 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
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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.