Little Rock Allergy & Asthma Clinic PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MC0750 Issued in AR

Legal business name

LITTLE ROCK ALLERGY & ASTHMA CLINIC PA

Practice address

18 Corporate Hill Dr
Suite 110
Little Rock, AR 72205-4565

Phone

(501) 224-1156

Fax

(501) 801-5561

NPI assigned

Jun 5, 2006

Last updated

Oct 16, 2014By 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

Jennifer Wake

Title

Operations Manager

Phone

(501) 978-7113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Stacy Sirmar Griffin, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1407892805
  Medicare reassignment Care Compare group
• Jim Mark Ingram, M.D.

  • Allergy & Immunology Physician
  • Little Rock, AR
  • NPI 1093707176
  Medicare reassignment Care Compare group
• Kim Ngan Thi Jackson, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1902292329
  Medicare reassignment Care Compare group
• Melissa Brooke Mayhan

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1487246278
  Medicare reassignment Care Compare group
• Adam Sterling Price

  • Allergy & Immunology Physician
  • Little Rock, AR
  • NPI 1932605607
  Medicare reassignment Care Compare group
• Blake Graham Scheer, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1871585950
  Medicare reassignment Care Compare group
• Ashley Nicole Stoner, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1497118814
  Medicare reassignment Care Compare group
• Tulshi Amin, DNP

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1023940418
  NPD (past)
• Clayton L Ellison, PA

  • Physician Assistant
  • Pensacola, FL
  • NPI 1295956316
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1154360576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DRIVE",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565",
            "telephone_number": "501-224-1156",
            "fax_number": "501-801-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK ALLERGY & ASTHMA CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "WAKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "501-978-7113"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "MC0750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104919002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle M Lisko-Burns, M.D.
• Marquette Lison
• Rachel Lister, MHPP
• Michelle Liszewski, QBHP
• Little Rock Air Force Base Eye Care
• Little Rock Ambulance Authority (Metropolitan Emergency Medical Services)
• Little Rock Audiology Clinic, Inc.
• Little Rock Cancer Clinic, P.a.
• Little Rock Cardiology Clinic, PA
• Little Rock Cardiology Clinic, PLC

• Allergy & Immunology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy & Immunology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.

Verify at the official NPI Registry.