Organization Active NPI

American Health Associates, PLLC

Doing business as American Health Asso, SNF, PLLC

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1386934792
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MC 2705 Issued in AR
Legal business name
AMERICAN HEALTH ASSOCIATES, PLLC
Doing business as
American Health Asso, SNF, PLLC
Practice address
2600 Barrow Rd
Little Rock, AR 72204-3335
Phone
(501) 224-4173
Fax
(501) 217-0445
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Khalid Rayaz, MD
Title
President
Phone
(870) 850-6053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MC 2705 AR Primary

Addresses

Primary practice location

2600 Barrow Rd
Little Rock, AR 72204-3335

Mailing address

316 W 6TH Ave
Pine Bluff, AR 71601-4217
Phone (870) 850-6053

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAR

Other names 1

  • American Health Asso, SNF, PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1386934792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 6TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014217",
            "telephone_number": "870-850-6053",
            "fax_number": "870-850-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BARROW RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043335",
            "telephone_number": "501-224-4173",
            "fax_number": "501-217-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "RAYAZ",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-850-6053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "MC 2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Health Asso, SNF, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 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.

Verify at the official NPI Registry.