Dr Q Pain & Spine Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR Q PAIN & SPINE CLINIC, PA

Practice address

3901 McCain Park Dr Ste 102
North Little Rock, AR 72116-7849

Phone

(501) 227-0184

NPI assigned

Oct 16, 2018

Organization subpart

Yes

Parent organization

DR Q PAIN & SPINE CLINIC, PAAs reported in NPPES

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

Authorized official

Name

Mr. Iftikhar Pathan, MBA

Title

General Manager

Phone

(501) 227-0184

Specialties & licenses 1

Addresses

Other names 1

• ASAP Family Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
  • NPI 1477781425

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Benton, AR
  • NPI 1487168308

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • White Hall, AR
  • NPI 1528572443

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, AR
  • NPI 1649784562

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Conway, AR
  • NPI 1699289512

  O20091120000013

  Same enrollment

Part of

Dr Q Pain Spine Clinic PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
  • NPI 1477781425
  NPPES parent name

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1407322605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053328",
            "telephone_number": "501-227-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MCCAIN PARK DR STE 102",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167849",
            "telephone_number": "501-227-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR Q PAIN & SPINE CLINIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR Q PAIN & SPINE CLINIC, PA",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "PATHAN",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "501-227-0184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASAP Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Ryann Dowlearn, LMSW
• Dr Dave L Ouellette, DDS, PA
• Dr Penny Freshour OD PA
• Dr Perry L Amerine PA
• Dr Phillip Jaros PA
• Dr. Bryant Ashley, Jr.
• Dr. Dennis L. Wingfield, PA
• Dr. Kerry Moon, D.D.S., PLLC
• Dr. Kevin M Dugan D,D,S P.a
• Dr. Paul Dean, D.D.S., P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.