Active NPI
Medexpress Primary Care Arkansas, P.a.
Doing business as MedExpress Primary Care - Chenal Parkway Primary Care
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1700426426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDEXPRESS PRIMARY CARE ARKANSAS, P.A.
- Doing business as
- MedExpress Primary Care - Chenal Parkway Primary Care
- Practice address
- 12300 Chenal Pkwy
Little Rock, AR 72211-2724 - Phone
- (501) 221-8661
- Fax
- (501) 221-6724
- NPI assigned
- Jan 10, 2020
- Last updated
- May 7, 2024
- 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
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12300 Chenal Pkwy
Little Rock, AR 72211-2724
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other names 1
- MedExpress Primary Care - Chenal Parkway Primary Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Vienna, WV
- NPI 1376542290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1700426426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 FORTRESS BLVD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081351",
"telephone_number": "304-225-2500",
"fax_number": "304-985-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 CHENAL PKWY",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112724",
"telephone_number": "501-221-8661",
"fax_number": "501-221-6724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS PRIMARY CARE ARKANSAS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-10",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "CONTRACT MANAGER",
"authorized_official_telephone_number": "763-349-6740"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedExpress Primary Care - Chenal Parkway Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
- Med-X Corporation
- Medbasics Arkansas LLC
- Felipe Almada Medeiros, M.D.
- Noel M Medel, M.D.
- Medevolve
- Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Little Rock, Chenal Pkwy)
- Medexpress Urgent Care Arkansas, PA (MedExpress Urgent Care - Little Rock, W Markham St)
- Medic Pharmacy Inc
- Medic Pharmacy Inc
- Medic Rental Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.