Gustavus Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUSTAVUS FAMILY CLINIC

Practice address

7418 N Hills Blvd
North Little Rock, AR 72116-4525

Phone

(501) 833-0177

Fax

(501) 833-0223

NPI assigned

Feb 20, 2009

Organization subpart

Yes

Parent organization

MARDUK INCAs reported in NPPES

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

Authorized official

Name

Dr. John L Gustavus, MD

Title

Owner

Phone

(501) 833-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Gustavus Family Clinic

Locations

Practitioners 1

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

• James C Arrington, MD

  • Family Medicine Physician
  • Lewisville, AR
  • NPI 1861455354

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1467692103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 N HILLS BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721164525",
            "telephone_number": "501-833-0177",
            "fax_number": "501-833-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 N HILLS BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721164525",
            "telephone_number": "501-833-0177",
            "fax_number": "501-833-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVUS FAMILY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARDUK INC",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "GUSTAVUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-833-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AR",
            "identifier": "52054C761",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Michelle Grunska, BS, QBHP
• Guiding Hands Community Care LLC
• Dana C Gullett, LCSW
• Isa Emre Gultekin, MD
• Briana Nicole Gunn
• John L. Gustavus, M.D.
• Clarence Guy
• H.H.D. Inc.
• H&FSTS
• Habibis Durable Medical Equipment

• All providers in North Little Rock, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.