Healthstar Physicians of Hot Springs, PLLC
Organization Active NPI Clinic/Center · Hot Springs, AR
NPI 1508240482 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1508240482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
- Practice address
- 120 Adcock Rd Ste a
Hot Springs, AR 71913 - Phone
- (501) 651-4500
- Fax
- (501) 651-4520
- NPI assigned
- Jul 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Brenda Larie Southerland
- Title
- Cfo
- Phone
- (501) 625-7500
Other NPIs on the same Medicare enrollment 15
Practitioners 56
-
Anna Marie Davis, APRN
-
Joseph C Fendley, APRN
-
Richard Ross Finch, D.O.
-
Brittany Camille Flynn, APRN
-
Christina Gillenwater, APRN
-
Amy Leigh Henson, APRN-CNP
-
Brittany Lacy, CNP
-
Elvira Monica Liga, APRN
-
Fred Lyles, M.D.
-
David Michael Moore, PA-C
-
Barton David Parish, M.D.
-
Stacy L Reynolds, APRN
-
Gregory Sketas III, M.D.
-
Natalie E Summitt, APRN
-
Mandi E Bohlen, APRN
-
Hunter K Carrington, M.D.
-
Samantha Davis, APRN
-
Naomi Dian Dixon, APRN
-
Miranda Erin Edgar, APRN
-
John Scott Erwin, MD
-
Ted Michael Faro, DO
-
Brent Darin Fikes, A.P.N.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2098709 | First Care Walk-in Clinic | Compliance | Dec 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315001542 | AR | Part B Supplier - Clinic/Group Practice | 5698665685 |
Receives reassigned benefits from 92 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amity, AR; Hot Springs, AR; Norman, AR; Pearcy, AR; Poyen, AR |
National Provider Directory
Locations
120 Adcock Rd
Ste A
Hot Springs, AR 71913
Phone (501) 651-4500
205 Wolf St
Pearcy, AR 71964
Phone (501) 760-7759
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
120 Adcock Rd Ste a
Hot Springs, AR 71913
Mailing address
1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (501) 625-7500
Other practice location 1
1661 Airport Rd
Suite D
Hot Springs, AR 71913-7951
Phone (501) 625-7500
Other names
- First Care Walk-In Clinic
Other providers in Hot Springs, AR
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
All providers in Hot Springs, AR · Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.