Active NPI
Arkansas Allergy & Asthma Clinic, P.a.
- Allergy & Immunology Physician
- North Little Rock, AR
National Provider Identifier
1568423309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
- Practice address
- 2504 McCain Blvd
Suite 118
North Little Rock, AR 72116-7608 - Phone
- (501) 758-9696
- Fax
- (501) 758-4271
- NPI assigned
- Mar 31, 2006
- Last updated
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Prince
- Title
- Administrator
- Phone
- (501) 758-9696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
2504 McCain Blvd
Suite 118
North Little Rock, AR 72116-7608
Mailing address
2504 McCain Blvd
Suite 118
North Little Rock, AR 72116-7608
Phone (501) 758-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104277002 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Allergy Asthma Clinic PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Conway, AR
- NPI 1609837459
-
- Allergy & Immunology Physician
- Little Rock, AR
- NPI 1942321013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1568423309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 MCCAIN BLVD",
"address_2": "SUITE 118",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167608",
"telephone_number": "501-758-9696",
"fax_number": "501-758-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 MCCAIN BLVD",
"address_2": "SUITE 118",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167608",
"telephone_number": "501-758-9696",
"fax_number": "501-758-4271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "501-758-9696"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104277002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
- Argus Diagnostic Imaging of Arkansas LLC
- Ark Restorative Mental Health
- Arkansas Adult Psychotherapy Center, PLLC
- Arkansas Advanced Care, LLC (LifeTouch Health Primary Care)
- Arkansas All Care
- Arkansas Center for Physical Medicine & Rehabilitation
- Arkansas Compression Shop LLC
- Arkansas CVS Pharmacy LLC (CVS Pharmacy #10975)
- Arkansas Ear Nose & Throat, P.a.
- Arkansas Families First LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.