Organization Active NPI

Thomas L. Eans, MD

Doing business as Riverside Clinic

  • General Practice Physician
  • North Little Rock, AR
National Provider Identifier
1144283169
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C5049 Issued in AR
Legal business name
THOMAS L. EANS, MD
Doing business as
Riverside Clinic
Practice address
11749 Maumelle Boulevard
North Little Rock, AR 72113
Phone
(501) 663-3732
Fax
(501) 663-0076
NPI assigned
Apr 10, 2006
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Thomas L Eans, MD
Title
Owner
Phone
(501) 663-3732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C5049 AR Primary

Addresses

Primary practice location

11749 Maumelle Boulevard
North Little Rock, AR 72113

Mailing address

11749 Maumelle Boulevard
No Little Rock, AR 72113
Phone (501) 663-3732

Other identifiers 3

IdentifierTypeStateIssuer
101023001MedicaidAR
51496OtherARBCBS
116905002MedicaidAR

Other names 1

  • RIVERSIDE CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1144283169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11749 MAUMELLE BOULEVARD",
            "city": "NO LITTLE ROCK",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-663-3732",
            "fax_number": "501-663-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11749 MAUMELLE BOULEVARD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-663-3732",
            "fax_number": "501-663-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. EANS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "EANS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-663-3732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "C5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101023001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51496",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116905002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.