Divine Mercy Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIVINE MERCY HEALTH CENTER

Practice address

6221 Colonel Glenn Rd
Little Rock, AR 72204-7731

Phone

(501) 223-2776

Fax

(501) 223-2779

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee Wilbur, MD

Title

Owner/Ceo/Physician

Phone

(317) 409-3019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1144047929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047731",
            "telephone_number": "501-223-2776",
            "fax_number": "501-223-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047731",
            "telephone_number": "501-223-2776",
            "fax_number": "501-223-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CEO/PHYSICIAN",
        "authorized_official_telephone_number": "317-409-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Disheroon
• Kristin Mitchell Dishongh, M.D.
• Jonathan Dismuke
• Dispatchhealth- Arizona (DispatchHealth Arkansas)
• Diversified Children Youth & Families Development Program (Diversified Developmental Services, Inc.)
• Divine Mercy Health Center
• Amanda Jill Dixon, PHARMD, DPH
• Benjamin Cody Dixon, DPT
• David Dixon, CRNA
• Meghan Cantlon Dixon, R.D

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.