Organization Active NPI

Arkansas Wellness Associates LLC

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1043788045
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARKANSAS WELLNESS ASSOCIATES LLC
Practice address
10700 N Rodney Parham Road, Suite C11
Little Rock, AR 72212
Phone
(501) 414-0438
Fax
(501) 414-0490
NPI assigned
Nov 7, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
William G Reilly, MD
Title
Authorized Official
Phone
(817) 410-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10700 N Rodney Parham Road, Suite C11
Little Rock, AR 72212

Mailing address

1920 East State Highway 114
Southlake, TX 76092
Phone (817) 410-3800

National Provider Directory

National Provider Directory

Locations

147 Section Line Rd
Ste G
Hot Springs National Park, AR 71913
Phone (281) 429-8522

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1043788045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 EAST STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-410-3800",
            "fax_number": "817-410-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM ROAD, SUITE C11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72212",
            "telephone_number": "501-414-0438",
            "fax_number": "501-414-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS WELLNESS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-410-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2018; 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.