Active NPI
Arkansas Health Group
Doing business as Baptist Health Family Clinic Maumelle
- Family Medicine Physician
- Maumelle, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARKANSAS HEALTH GROUP
- Doing business as
- Baptist Health Family Clinic Maumelle
- Practice address
- 1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7400 - Phone
- (501) 851-7400
- Fax
- (501) 851-4753
- NPI assigned
- Aug 5, 2006
- Last updated
- Apr 11, 2019
- 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
- Mr. Will L Rusher
- Title
- Ceo
- Phone
- (501) 812-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1701 Club Manor Dr
Suite 2
Maumelle, AR 72113-7400
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other names 1
- Baptist Health Family Clinic Maumelle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051222000203 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 4 practitioners Practice locations: Maumelle, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0466687 | Baptist Health Family Clinic | Provider-performed microscopy | May 2, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health Medical Center- Arkadelphia-SNF
- Medicare Defined Swing Bed Hospital Unit
- Arkadelphia, AR
- NPI 1760418354
Member Of
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
Member Of
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Nurse Practitioner
- Maumelle, AR
- NPI 1205580834
-
- Family Medicine Physician
- Maumelle, AR
- NPI 1922016674
-
- Family Nurse Practitioner
- Maumelle, AR
- NPI 1013658822
-
- Family Nurse Practitioner
- Maumelle, AR
- NPI 1114381472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1124037866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CLUB MANOR DR",
"address_2": "SUITE 2",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137400",
"telephone_number": "501-851-7400",
"fax_number": "501-851-4753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-812-7500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Family Clinic Maumelle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maumelle, AR
- Arcare (ARcare32)
- Ashlie Lemons Ardoin, MS,CCC-SLP
- Arkansas Asthma & Lung Center Inc
- Arkansas Asthma & Lung Centers Inc
- Arkansas Back Clinic
- Arkansas Health Group (Internal Medicine Associates of North Little Rock)
- Arkansas Health PLLC (Advanced Interventions Lab)
- Arkansas Reliable Transportation LLC
- David Arnold
- Mary Helen Ashley, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.