NPIMap

Organization Active NPI

Prime Medical Group PLLC

  • Dermatology Physician
  • Hot Springs, AR
National Provider Identifier
1528667672
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PRIME MEDICAL GROUP PLLC
Practice address
315 Section Line Rd Ste a&B
Hot Springs, AR 71913-6480
Phone
(501) 776-3800
Fax
(501) 776-2209
NPI assigned
Oct 20, 2020
Organization subpart
Yes
Parent organization
PRIME MEDICAL GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Ray Kohler Parker
Title
Physician
Phone
(501) 227-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

315 Section Line Rd Ste a&B
Hot Springs, AR 71913-6480

Mailing address

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

National Provider Directory

National Provider Directory
Tax ID family
Prime Medical Group PLLC6 organizations share this tax ID, including this one
Part of
Prime Medical Group PLLC

Other organizations with this tax ID 5

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

Locations

315 Section Line Rd
Ste Ab
Hot Springs, AR 71913
Phone (501) 359-3880

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1528667672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SECTION LINE RD STE A&B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136480",
            "telephone_number": "501-776-3800",
            "fax_number": "501-776-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME MEDICAL GROUP PLLC",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "KOHLER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-227-8422"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.