Active NPI
Arkansas Allergy & Asthma Clinic, P.a.
- Allergy & Immunology Physician
- Little Rock, AR
National Provider Identifier
1003877853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
- Practice address
- 5 Executive Center CT
Little Rock, AR 72211-4375 - Phone
- (501) 227-5210
- Fax
- (501) 312-1592
- NPI assigned
- Mar 31, 2006
- Last updated
- Mar 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Wells
- Title
- Administrator
- Phone
- (501) 227-5210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
5 Executive Center CT
Little Rock, AR 72211-4375
Mailing address
PO Box 55090
Little Rock, AR 72215-5090
Phone (501) 227-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104277002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Jonesboro, AR
- NPI 1790468833
-
- Allergy & Immunology Physician
- Fort Smith, AR
- NPI 1932188067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551830400000",
"number": "1003877853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55090",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722155090",
"telephone_number": "501-227-5210",
"fax_number": "501-312-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EXECUTIVE CENTER CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114375",
"telephone_number": "501-227-5210",
"fax_number": "501-312-1592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2019-03-06",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "501-227-5210"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104277002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Ares Laboratory LLC
- Sici Elizabeth Argueta, OT-A
- Sugey Arias-Resendiz
- Carmen Lynn Arick, M.D.
- Shahrukh Arif
- Arkansas Allergy & Asthma Clinic, PA
- Arkansas Alliance for Recovery Centered Organizations
- Arkansas Anesthesia Network Services LLC
- Arkansas Anesthesia Partners Corp
- Arkansas Arthritis Clinic, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.