Active NPI
Arkansas Health Group
- Family Medicine Physician
- North Little Rock, AR
National Provider Identifier
1740299478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARKANSAS HEALTH GROUP
- Practice address
- 505 W Pershing Blvd Ste C
North Little Rock, AR 72114-2157 - Phone
- (501) 758-7352
- Fax
- (501) 771-5014
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Will Rusher
- Title
- Ceo/President
- Phone
- (501) 812-7800
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Murfreesboro, TN
- NPI 1972524429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624000461 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 4 practitioners Practice locations: North Little Rock, AR |
National Provider Directory
National Provider DirectoryLocations
757 E Front St
Lonoke, AR 72086
Phone (501) 266-7265
4635 John F Kennedy Blvd
North Little Rock, AR 72116
Phone (501) 435-3325
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
505 W Pershing Blvd Ste C
North Little Rock, AR 72114-2157
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7800
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128271002 | Medicaid | AR |
Other names 1
NPPES NPI Registry- North Little Rock Family Practice Clinic/A Baptist Health Affiliate
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2019.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1740299478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-812-7800",
"fax_number": "501-812-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W PERSHING BLVD STE C",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142157",
"telephone_number": "501-758-7352",
"fax_number": "501-771-5014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "501-812-7800"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128271002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Little Rock Family Practice Clinic/A Baptist Health Affiliate",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Little Rock Family Practice Clinic/A Baptist Health Affiliate",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.