Active NPI
Larry Price, M.D.
- Personal Emergency Response Attendant
- Russellville, AR
National Provider Identifier
1174550990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- C5442
- Practice address
- 1298 Old Cove Rd
Russellville, AR 72802-1563 - Phone
- (479) 968-4668
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | C5442 | AR | Primary |
Addresses
Primary practice location
1298 Old Cove Rd
Russellville, AR 72802-1563
Mailing address
1298 Old Cove Rd
Russellville, AR 72802-1563
Phone (479) 968-4668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103581001 | Medicaid | AR | |
| 54154 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5442 | AR | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony's Hospital Association | Past | Accepting new patients | |
| St. Anthony's Hospital Association | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba St. Vincent Morrilton
- Critical Access Hospital
- Morrilton, AR
- NPI 1023160314
-
dba St. Vincent Morrilton
- Critical Access Hospital
- Morrilton, AR
- NPI 1386796670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1174550990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 OLD COVE RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728021563",
"telephone_number": "479-968-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1298 OLD COVE RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728021563",
"telephone_number": "479-968-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "LARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "AR",
"license": "C5442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103581001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "54154",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.