Dermatology Group of Arkansas, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY GROUP OF ARKANSAS, P.A.

Practice address

9601 Baptist Health Dr.
Suite 690
Little Rock, AR 72205-6328

Phone

(501) 227-8422

Fax

(501) 537-2399

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dina Damrow

Title

Office Administrator

Phone

(501) 227-8422

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bressinck, Gibson, Parker, Sangster, Smith, Bruyneel Dermatology, P.A. Former legal business name

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1184676538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR.",
            "address_2": "SUITE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR.",
            "address_2": "SUITE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY GROUP OF ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "DAMROW",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-227-8422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE#",
            "identifier": "070003037",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132088008",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bressinck, Gibson, Parker, Sangster, Smith, Bruyneel Dermatology, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Department of Health and Human Services Division of Health
• Department of Veterans Affairs
• Tamera Depriest
• Derlis Martino MD PA
• Dermatology Care of Arkansas, PLLC
• Nathan Gilbert Derrickson, LCSW
• Alexis Marie Derrigo, MD
• Ankur Naran Desai, RRT
• Rohan Desai, PA-C
• Shefali N Desai

• Dermatology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.