Organization Active NPI

Servant Healthcare, PA

Doing business as Apex Men's Health

  • Clinic/Center
  • Little Rock, AR
National Provider Identifier
1013274364
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
BL00123175 Issued in AR
Legal business name
SERVANT HEALTHCARE, PA
Doing business as
Apex Men's Health
Practice address
10700 N Rodney Parham Road
Ste C-10a
Little Rock, AR 72212
Phone
(501) 246-7274
Fax
(501) 421-4161
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremy Alan Warford, M.D.NPI 1528021649
Title
Owner
Phone
(501) 920-2252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X BL00123175 AR Primary

Addresses

Primary practice location

10700 N Rodney Parham Road
Ste C-10a
Little Rock, AR 72212

Mailing address

10700 N Rodney Parham Road
Ste C-10a
Little Rock, AR 72212
Phone (501) 246-7274

Other identifiers 1

IdentifierTypeStateIssuer
5GB23OtherARMEDICARE GROUP PTAN

Other names 1

  • Apex Men's Health Doing business as

National Provider Directory

National Provider Directory

Locations

10700 N Rodney Parham Rd
#C
Little Rock, AR 72212

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1013274364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM ROAD",
            "address_2": "STE C-10A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72212",
            "telephone_number": "501-246-7274",
            "fax_number": "501-421-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM ROAD",
            "address_2": "STE C-10A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72212",
            "telephone_number": "501-246-7274",
            "fax_number": "501-421-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "WARFORD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-920-2252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "BL00123175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "5GB23",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Men's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.