North Pulaski Diagnostic Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH PULASKI DIAGNOSTIC CLINIC

Practice address

2215 Wildwood Ave
Suite 201
Sherwood, AR 72120-5089

Phone

(501) 833-8400

Fax

(501) 833-0266

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth Hickman

Title

Office Manager

Phone

(501) 833-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053397554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-833-8400",
            "fax_number": "501-833-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-833-8400",
            "fax_number": "501-833-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PULASKI DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-833-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Newcombe
• North Hills Services Inc
• North Hills Services, Inc
• North Hills Services, Inc
• North Hills Services, Inc
• North Pulaski Womens Clinic
• North River Surgery Center, LLC
• North River Surgery Center, LLC
• Vanessa Aubree Northweather
• Katelyn M Norwood

• Internal Medicine Physician in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.