Integrative Medical Center of Arkansas PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTEGRATIVE MEDICAL CENTER OF ARKANSAS PA

Practice address

2001 Club Manor Dr
Suite D
Maumelle, AR 72113-7411

Phone

(501) 773-6318

Fax

(501) 687-0489

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

David C Haas, MDNPI 1518924471

Title

Owner

Phone

(501) 687-0488

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Charles Haas, M.D.

  • Psychiatry Physician
  • Maumelle, AR
  • NPI 1518924471
  NPD Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1134595234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "address_2": "SUITE D",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137411",
            "telephone_number": "501-773-6318",
            "fax_number": "501-687-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "address_2": "SUITE D",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137411",
            "telephone_number": "501-773-6318",
            "fax_number": "501-687-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CENTER OF ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-687-0488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Hollowoa, APRN
• Rachel Alexandria Howard, LCSW
• Lauren Huff
• Sidney Hunt, PT, DPT
• Icp Arkansas Aco Billing LLC
• Investec Inc.
• Clayton Hoyt Isenberg
• Simona Ivan, D.D.S
• Jonathan David Jameson, D.C.
• Jeff J. Carfagno, M.D., P.a.

• Primary Care Clinic/Center in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.