Healthville PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTHVILLE PLLC

Practice address

11219 Financial Centre Pkwy Ste 316
Little Rock, AR 72211-3895

Phone

(501) 747-1827

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Fan Yang, MD

Title

Manager

Phone

(914) 282-0843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1740797422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY STE 316",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113895",
            "telephone_number": "501-747-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY STE 316",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113895",
            "telephone_number": "501-747-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "FAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-282-0843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.