P. Reddy Tukivakala, M.D., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R4048 Issued in AR

Legal business name

P. REDDY TUKIVAKALA, M.D., P.A.

Practice address

810 Newman Dr # a
Helena, AR 72342-8950

Phone

(870) 338-7441

Fax

(870) 338-7945

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila A. Privett

Title

Office Manager

Phone

(870) 338-7441

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Karen Denise Sullivan, APN

  • Family Nurse Practitioner
  • Helena, AR
  • NPI 1467543488
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1689798449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723420806",
            "telephone_number": "870-338-7441",
            "fax_number": "870-338-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEWMAN DR # A",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428950",
            "telephone_number": "870-338-7441",
            "fax_number": "870-338-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. REDDY TUKIVAKALA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "PRIVETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-338-7441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "R4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119045002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5B386",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Arkansas Community Mental Health Center Inc
• Olunwa M Nwaobi, BSC, MSC, PHD.
• Valerie U Oji, PHARM.D., BCPP, PHD
• John Andrew Oliver, M.D.
• Omega Care Inc
• Leroy Parker
• Leslie Partridge
• Phillips Clinic Company, LLC
• Phillips Clinic Company, LLC
• Phillips Clinic Company, LLC

• Primary Care Clinic/Center in Helena, AR
• Providers in Helena, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.