Integrated Wound Care Arkansas PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATED WOUND CARE ARKANSAS PLLC

Practice address

300 S Spring St
Little Rock, AR 72201-2444

Phone

(201) 870-1194

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Diane Lusas, MDNPI 1730475658

Title

Member

Phone

(201) 870-1194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane N Lusas, M.D.

  • Surgery Physician
  • Norwalk, CT
  • NPI 1730475658

  AR

  Medicare reassignment NPD Authorized official
• Audrey Rachel Alexander, APRN

  • Family Nurse Practitioner
  • Searcy, AR
  • NPI 1487390118
  Medicare reassignment NPD
• Panfilo Estrada-Flores, APRN

  • Acute Care Nurse Practitioner
  • Benton, AR
  • NPI 1154889707
  Medicare reassignment NPD
• Tracey Lashay Franklin, APRN

  • Family Nurse Practitioner
  • Malvern, AR
  • NPI 1982114252
  Medicare reassignment NPD
• Shelby Elaine Gibson, APRN

  • Family Nurse Practitioner
  • Monticello, AR
  • NPI 1659918936

  Single Specialty

  Medicare reassignment NPD
• Lauren Schultz, PA-C

  • Physician Assistant
  • Jackson, TN
  • NPI 1093255325

  AR

  Medicare reassignment

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1760110282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492C CEDAR LN STE 514",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661713",
            "telephone_number": "201-870-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SPRING ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012444",
            "telephone_number": "201-870-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WOUND CARE ARKANSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "LUSAS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-870-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.