Individual provider Active NPI

Edward J Love, MD

  • Specialist
  • Little Rock, AR
National Provider Identifier
1356312490
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2504 Issued in AR
Practice address
1 Lile CT
Suite 100
Little Rock, AR 72205-6242
Phone
(501) 224-1859
Fax
(501) 975-2242
NPI assigned
Jan 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E2504 AR Primary

Addresses

Primary practice location

1 Lile CT
Suite 100
Little Rock, AR 72205-6242

Mailing address

1 Lile CT
Suite 100
Little Rock, AR 72205-6242
Phone (501) 224-1859

Other identifiers 2

IdentifierTypeStateIssuer
E2504OtherARMEDICAL LICENSE
140138001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001639 AR Practitioner - Plastic and Reconstructive Surgery 7517959760 Reassigns benefits to 1 organization
Practice locations: Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9500 Baptist Health Dr
Suite 200
Little Rock, AR 72205-6319

9500 Baptist Health Dr
Suite 200
Little Rock, AR 72205-6343
Phone (501) 224-1859

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2504ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Institute, PA Specialist CurrentSince Apr 11, 2011 Accepting new patients
Atwood Plastic Surgery and Aesthetics PastSince Jul 9, 2025 Accepting new patients
Surgical Clinic, PA Specialist Past Accepting new patients

Locations

1 Lile Ct
Ste 100
Little Rock, AR 72205
Phone (501) 224-1859

9500 Baptist Health Dr
Ste 200
Little Rock, AR 72205
Phone (501) 224-1859

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356312490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LILE CT",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056242",
            "telephone_number": "501-224-1859",
            "fax_number": "501-975-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056242",
            "telephone_number": "501-224-1859",
            "fax_number": "501-975-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E2504",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140138001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.