ARKANSAS NEPHROLOGY SERVICES, LTD. (NPI# 1982679916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982679916 |
| Entity Type | Organization |
| Organization Name | ARKANSAS NEPHROLOGY SERVICES, LTD. |
| Other Organization Name | DEGRAY KIDNEY CENTER |
| Practice Address |
312 Professional Park Dr Suite H Arkadelphia AR 71923-5315 |
| Mailing Address |
115 Wrights St Hot Springs AR 71913-6240 |
| Practice Telephone | 8702463021 |
| Practice Fax Number | 8702453766 |
| Mailing Telephone | 5016246000 |
| Mailing Fax Number | 5013210710 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | MRS. DONETTE LIGON (ADMINISTRATOR) |
| Authorized Official Telephone | 5016246000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 112936134 | 05 |
| Other Name | Type Code |
|---|---|
| DeGray Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992047 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1114 Washington N.w., Camden, AR 71701-3827 | 2006-02-22 |
| 1184699498 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 204 Bragg St, Warren, AR 71671-2500 | 2006-02-21 |
| 1538134820 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 3121 W 2nd Ct, Russellville, AR 72801-4504 | 2006-02-21 |
| 1801861109 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1590 Tanner St, Rockport, AR 72104-2023 | 2006-02-21 |
| 1649245945 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1019 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-02-21 |
| 1013982040 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-22 |
| 1811962830 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1900 Malvern Ave, Suite102, Hot Springs, AR 71901-7759 | 2006-02-22 |
| 1467427872 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 115 Wrights St, Hot Springs, AR 71913-6240 | 2006-02-20 |
| 1275508681 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-20 |
| Street Address |
312 PROFESSIONAL PARK DR SUITE H |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190580 | John Elkins | Obstetrics & Gynecology | 312 Professional Park Dr, Suite A, Arkadelphia, AR 71923-5315 | 2006-02-01 |
| 1457991820 | Nicole Hargett | Social Worker | 312 Professional Park Dr, Arkadelphia, AR 71923-5315 | 2020-01-13 |
| 1891987061 | Miranda M Childs Dds | Dentist | 312 Professional Park Dr, Suite D, Arkadelphia, AR 71923-5315 | 2007-08-13 |
| 1043325145 | Miranda Michelle Childs | Dentist | 312 Professional Park Dr, Suite D, Arkadelphia, AR 71923-5315 | 2006-08-20 |
| 1316919012 | Arkadelphia Women's Clinic | Obstetrics & Gynecology | 312 Professional Park Dr, Suite A, Arkadelphia, AR 71923-5315 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184968604 | Renal Treatment Centers Southeast Lp | Clinic/Center | 312 Professional Park Dr Ste H, Arkadelphia, AR 71923-5355 | 2012-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1073010518 | Toltec Dialysis LLC | Clinic/Center | 2630 Donaghey Ave, Conway, AR 72032-0000 | 2018-04-11 |
| 1588102610 | Matheson Dialysis LLC | Clinic/Center | 9022 Landers Rd Ste E, North Little Rock, AR 72117-1599 | 2017-02-09 |
| 1871031211 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 115 E Peddicord St, Dermott, AR 71638-2314 | 2017-02-06 |
| 1821455494 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 505 Saint Mary St, Lake Village, AR 71653-1722 | 2016-01-27 |
| 1912399601 | Ozark Dialysis LLC | Clinic/Center | 404 Camp Rd, Pocahontas, AR 72455-1487 | 2015-03-04 |
| 1447640917 | Fidelity Home Dialysis Corporation | Clinic/Center | 9421 W Markham St, Little Rock, AR 72205-2240 | 2015-02-04 |
| 1386053296 | Arkansas Staff Assisted Hemodialysis,inc | Clinic/Center | 321 Terry Pond Cv, White Hall, AR 71602-8212 | 2014-08-05 |
| 1609291202 | Little Rock Renal Services LLC | Clinic/Center | 1910 John Barrow Rd, Little Rock, AR 72204-1448 | 2014-02-19 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on ARKANSAS NEPHROLOGY SERVICES, LTD..
| 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.