Allan Pirnique, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-3291 Issued in AR

Practice address

403 W Oak St
El Dorado, AR 71730-4586

Phone

(870) 862-2489

Fax

(870) 863-4128

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McSa LLC

  • Cardiovascular Disease Physician
  • El Dorado, AR
  • NPI 1689735326
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013973452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304574",
            "telephone_number": "870-862-2489",
            "fax_number": "870-863-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304586",
            "telephone_number": "870-862-2489",
            "fax_number": "870-863-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRNIQUE",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-3291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114098001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "C-3291",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHG El Dorado LLC
• PHG Union LLC
• Physical Therapy Center of South Arkansas Inc
• Belinda J Pierce, RPH
• Pink Elephant Therapy
• Billy Pittman
• Debra Plummer
• Melissa Polk, OD
• Eric Thomas Poole
• Kathryn Marie Poole, PT

• Family Medicine Physician in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.