Organization Active NPI

Arkansas Health Group

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1740299478
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
128271002MedicaidAR

Other names 1

NPPES NPI Registry
  • North Little Rock Family Practice Clinic/A Baptist Health Affiliate Doing business as

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.

Verify at the official NPI Registry.