Organization Active NPI

Parkway Health Center Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
National Provider Identifier
1114055712
Registry record updated Feb 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5B415 Issued in AR
Legal business name
PARKWAY HEALTH CENTER INC.
Practice address
14300 Chenal Pkwy
Little Rock, AR 72211-5805
Phone
(501) 202-1664
Fax
(501) 202-1611
NPI assigned
Mar 2, 2007
Last updated
Feb 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2009

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

Authorized official

Name
Peggy N McQueen
Title
Office Manager
Phone
(501) 202-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5B415 AR Primary

Addresses

Primary practice location

14300 Chenal Pkwy
Little Rock, AR 72211-5805

Mailing address

14300 Chenal Pkwy
Little Rock, AR 72211-5805
Phone (501) 202-1664

Other identifiers 1

IdentifierTypeStateIssuer
130139002MedicaidAR

National Provider Directory

National Provider Directory

Locations

14300 Chenal Pkwy
Little Rock, AR 72211
Phone (501) 202-1664

Practitioners & affiliated clinicians

Practitioners 2

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233964800000",
    "number": "1114055712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115805",
            "telephone_number": "501-202-1664",
            "fax_number": "501-202-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115805",
            "telephone_number": "501-202-1664",
            "fax_number": "501-202-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-02-07",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-202-1664"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "5B415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130139002",
            "state": "AR"
        }
    ],
    "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 Feb 7, 2009; 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.