Active NPI
Thomas L. Eans, MD
Doing business as Riverside Clinic
- General Practice Physician
- North Little Rock, AR
National Provider Identifier
1144283169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C5049
- 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, 2009
- 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
- Thomas L Eans, MD
- Title
- Owner
- Phone
- (501) 663-3732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101023001 | Medicaid | AR | |
| 51496 | Other | AR | BCBS |
| 116905002 | Medicaid | AR |
Other names 1
- RIVERSIDE CLINIC
National Provider Directory
National Provider DirectoryNPI 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.