Active NPI
Arkansas Health Group
- Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1043560170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ARKANSAS HEALTH GROUP
- Practice address
- 9600 Baptist Health Dr
Suite 260
Little Rock, AR 72205-6326 - Phone
- (501) 312-8844
- NPI assigned
- Sep 17, 2012
- 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
- Will Rusher
- Title
- Ceo / Vice President
- Phone
- (501) 812-7587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
9600 Baptist Health Dr
Suite 260
Little Rock, AR 72205-6326
Mailing address
9600 Baptist Health Dr
Suite 260
Little Rock, AR 72205-6326
Phone (501) 312-8844
Other names 1
- Baptist Health After Hours Express Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031206000016 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 6 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beebe, AR; White Hall, AR |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1043560170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BAPTIST HEALTH DR",
"address_2": "SUITE 260",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056326",
"telephone_number": "501-312-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BAPTIST HEALTH DR",
"address_2": "SUITE 260",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056326",
"telephone_number": "501-312-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_title_or_position": "CEO / VICE PRESIDENT",
"authorized_official_telephone_number": "501-812-7587"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health After Hours Express Clinic",
"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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.