Central Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C6406 Issued in AR

Legal business name

CENTRAL MEDICAL GROUP

Practice address

1 Saint Vincent Cir
Suite 350
Little Rock, AR 72205-5405

Phone

(501) 664-5932

Fax

(501) 296-9008

NPI assigned

Mar 20, 2006

Last updated

Feb 11, 2008By 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

Mrs. Gloria Dean Love

Title

Office Administrator/Manager

Phone

(501) 664-5932

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Tommy Lee Love Jr., MD

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1689681355
  Medicare reassignment NPD
• Andrea S Breedlove, FNP

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1982687471
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1205895232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR",
            "address_2": "SUITE 350",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055405",
            "telephone_number": "501-664-5932",
            "fax_number": "501-296-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR",
            "address_2": "SUITE 350",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055405",
            "telephone_number": "501-664-5932",
            "fax_number": "501-296-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "501-664-5932",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C4841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C6406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System John L. McClellan Memorial
• Central Arkansas Vetrans Healthcare Service
• Central Arkansas Volunteers Inmedicine (Harmony Health Clinic)
• Central Clinic for Women, P. a.
• Centre @ 10 Dental Group
• Renee Cerney
• Joseph M Cerrato, M.S.CCC-SLP
• Cesar Cruz, DDS P.a. (Universal Dental Center)
• Kaylin Cesarski, DO

• Internal Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.