Dr Q Pain & Spine Clinic, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DR Q PAIN & SPINE CLINIC, PA

Doing business as

Arkansas spine and pain

Practice address

115 McNeil St
Benton, AR 72015-3345

Phone

(501) 227-0184

Fax

(501) 251-1975

NPI assigned

Nov 30, 2017

Last updated

Jan 23, 2018By the provider in NPPES

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

Paula Ann Welch

Title

Administrator

Phone

(501) 227-0184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arkansas spine and pain 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

  dba ASAP Family Medicine Clinic

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1407322605

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

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

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas spine and pain

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

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas Spine and Pain

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

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas Spine and Pain

  • 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": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1487168308",
    "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",
            "fax_number": "501-251-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MCNEIL ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153345",
            "telephone_number": "501-227-0184",
            "fax_number": "501-251-1975"
        }
    ],
    "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": "2017-11-30",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-227-0184"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179747002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas spine and pain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas spine and pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Donnelly, CMP
• Andrew Donovan, LAC
• Carolyn Dotson, QBHP
• Adrienne Leigh Douglas, LCSW
• Susan Douglas, MHPP
• Dream Big Pediatric Therapies
• Stacy Whittaker Drennan, LMSW
• Amy Christine Dubrava, RN
• Jessica Duckworth, RECOVERY ASSISTANT
• Jennifer Duer Barnard, LPC

• Physical Medicine & Rehabilitation Physician in Benton, AR
• Providers in Benton, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.