Intensivist Group, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

INTENSIVIST GROUP, LLC

Practice address

650 United Dr Ste 200
Conway, AR 72032-7001

Phone

(501) 852-5500

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ladly Abraham, MDNPI 1972537090

Title

Owner

Phone

(501) 852-5500

Specialties & licenses 1

Addresses

Tax ID family

Intensivist Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Intensivist Group,LLC

  • Pulmonary Disease Physician
  • Conway, AR
  • NPI 1457723884
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ladly Abraham, MD

  • Pulmonary Disease Physician
  • Conway, AR
  • NPI 1972537090
  NPD Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1427413061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 200",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327001",
            "telephone_number": "501-852-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 200",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327001",
            "telephone_number": "501-852-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "LADLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-852-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Incite Rehab, LLC
• Independent Living Services
• Independent Living Services, Inc.
• Julie Ingle
• Sherry Ingram, BEHAVIOR TECH
• Intensivist Group,LLC
• Intentional Connections Counseling & Consulting LLC
• Kathryn Duckett Irby, OTR
• Chenae Grace Irwin
• Sarah Grace Irwin

• Pulmonary Disease Physician in Conway, AR
• Providers in Conway, AR by specialty
• Pulmonary Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.