ARKANSAS IP, PLLC (NPI# 1831747062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831747062 |
| Entity Type | Organization |
| Organization Name | ARKANSAS IP, PLLC |
| Practice Address |
212 Willie Ray Dr. Cabot AR 72023 |
| Mailing Address |
6030 S Rice Ave Ste C Houston TX 77081-2944 |
| Practice Telephone | 7136600555 |
| Mailing Telephone | 7136600557 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | TOM VO (MANAGER) |
| Authorized Official Telephone | 7136600557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
212 WILLIE RAY DR. |
| City | CABOT |
| State | AR |
| Zip Code | 72023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| 1477962264 | Holly Delclos Foster | Speech-Language Pathologist | 16105 Arkansas 5, Cabot, AR 72023 | 2014-08-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518249929 | Doc Network, Inc. | Emergency Medicine | 11705 E Creek Ln, Farmington, AR 72730-9564 | 2011-09-12 |
| 1376695098 | Angelique Thais Fontenette | Emergency Medicine | Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 | 2007-01-16 |
| 1972666147 | Ted Shields | Emergency Medicine | 1710 Mayfield Drive, Jonesboro, AR 72401 | 2006-12-19 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1023107935 | Khalid Rayaz | Emergency Medicine | 13212 Fairview Village Court, Little Rock, AR 72205-4417 | 2006-10-11 |
| 1538256680 | Gregory Hall | Emergency Medicine | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2006-10-09 |
| 1982715058 | Nes Western Arkansas, Inc | Emergency Medicine | East Main & South 20th St, Van Buren, AR 72956 | 2006-08-31 |
| 1295754075 | Roderick Rene Boyd | Emergency Medicine | 460 W Oak St Ste 601, El Dorado, AR 71730-4538 | 2006-07-19 |
| 1528007838 | Martin John Carey | Emergency Medicine | 1 Briar Patch Ct, Little Rock, AR 72211-4425 | 2006-06-05 |
| 1285257105 | City of Perryville | Emergency Medicine | 512 6th St, Perryville, AR 72126 | 2020-05-27 |
| 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.