Active NPI
Rheta Joann Horton Goatcher, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Little Rock, AR
National Provider Identifier
1366454969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- R4062
- Practice address
- 14300 Chenal Pkwy
Little Rock, AR 72211-5805 - Phone
- (501) 202-1664
- Fax
- (501) 202-1685
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | R4062 | AR | Primary |
Addresses
Primary practice location
14300 Chenal Pkwy
Little Rock, AR 72211-5805
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119064001 | Medicaid | AR |
Other names 1
- Dr. Joann H. Goatcher
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 |
|---|---|---|---|
| R4062 | AR | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1366454969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-812-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 CHENAL PKWY",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722115805",
"telephone_number": "501-202-1664",
"fax_number": "501-202-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOATCHER",
"first_name": "RHETA",
"middle_name": "JOANN HORTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AR",
"license": "R4062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119064001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANN",
"last_name": "GOATCHER",
"middle_name": "H.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.