Individual provider Active NPI

Karen M. Chase, M.D.

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1679505598
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9671 Issued in AR
Practice address
3805 McCain Park Dr
Suite 112
North Little Rock, AR 72116-7803
Phone
(719) 688-4845
NPI assigned
Jul 7, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215401 NY
Family Medicine Physician 207Q00000X 39244 CO
Family Medicine Physician 207Q00000X 206622 LA
Family Medicine Physician 207Q00000X E9671 AR Primary

Addresses

Primary practice location

3805 McCain Park Dr
Suite 112
North Little Rock, AR 72116-7803

Mailing address

3805 McCain Park Dr
Suite 112
North Little Rock, AR 72116-7803
Phone (719) 688-4845

Other identifiers 1

IdentifierTypeStateIssuer
68031882MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140121001538 LA Practitioner - Family PracticePractitioner - Emergency Medicine 1951351204 Reassigns benefits to 4 organizations
I20160506000187 AR Practitioner - Family PracticePractitioner - Emergency Medicine 1951351204 Reassigns benefits to 2 organizations
Practice locations: North Little Rock, AR
I20201211000663 NY Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 1951351204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9671ARMDFamily Medicine Physician
39244COMDFamily Medicine Physician
206622LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 30, 2015 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Mar 30, 2015 Accepting new patients
Jena Ess LLC CurrentSince Jul 1, 2015 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Mar 31, 2016 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Oct 26, 2020 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jul 1, 2015 Accepting new patients
Oakdale Ess LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

170 Warren St
Glens Falls, NY 12801
Phone (518) 793-5163

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1679505598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR",
            "address_2": "SUITE 112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167803",
            "telephone_number": "719-688-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR",
            "address_2": "SUITE 112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167803",
            "telephone_number": "719-688-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39244",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "206622",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E9671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68031882",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.