Healthstar Physicians of Hot Springs, PLLC
Organization Active NPI Adult Medicine Physician · Hot Springs, AR
NPI 1730532003 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1730532003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- Legal business name
- HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
- Practice address
- 120 Adcock Road
Suite D
Hot Springs, AR 71913-7958 - Phone
- (501) 547-5691
- Fax
- (501) 651-4296
- NPI assigned
- Jul 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Brenda Laurie Southerland
- Title
- Business Office Manager
- Phone
- (501) 627-4451
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 11
Practitioners 4
-
Ty Anthony Humphreys, APRN
-
Kimberly O Laflora, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315001542 | AR | Part B Supplier - Clinic/Group Practice | 5698665685 |
Receives reassigned benefits from 92 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amity, AR; Hot Springs, AR; Norman, AR; Pearcy, AR; Poyen, AR |
National Provider Directory
- Tax ID family
- West Shore Medical Clin
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | Yes |
Addresses
Primary practice location
120 Adcock Road
Suite D
Hot Springs, AR 71913-7958
Mailing address
1661 Airport Rd
Suite D
Hot Springs, AR 71913-7951
Phone (501) 625-7500
Other names
- HealthStar HouseCalls
Other providers in Hot Springs, AR
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians of Hot Springs, PLLC
- Healthstar Physicians Practice Management PLLC
All providers in Hot Springs, AR · Adult Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.