NPIMap

Organization Active NPI

Arisa Health, Inc.

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1760187413
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARISA HEALTH, INC.
Practice address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone
(870) 972-4000
Fax
(870) 972-4968
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Kelly Bunch
Title
Credentialing Coodinator
Phone
(479) 725-5115

Specialties & licenses 1

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

Addresses

Primary practice location

2707 Browns LN
Jonesboro, AR 72401-7213

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Other practice location 1

2560 Old County Rd
Pocahontas, AR 72455-4118
Phone (870) 972-4000

Other practice location 2

209 S Lockard St
Blytheville, AR 72315-2541
Phone (870) 763-2139

Other practice location 3

28 Southpointe Dr
Paragould, AR 72450-6238
Phone (870) 239-2244

Other practice location 4

905 N 7th St
West Memphis, AR 72301-2001
Phone (870) 735-5118

Other practice location 5

602 David St
Corning, AR 72422-7268
Phone (870) 857-3655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508000555 AR Part B Supplier - Clinic/Group Practice 2264853829 Receives reassigned benefits from 139 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paragould, AR; Pocahontas, AR; Rogers, AR; Helena, AR; Salem, AR; Searcy, AR; Siloam Springs, AR; Springdale, AR…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arisa Health Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 695-1240

2560 Old County Rd
Pocahontas, AR 72455
Phone (870) 892-7111

905 N 7th St
West Memphis, AR 72301
Phone (870) 735-5118

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1760187413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4000",
            "fax_number": "870-972-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Old County Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724554118",
            "country_code": "US",
            "telephone_number": "870-972-4000",
            "fax_number": "870-892-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 S Lockard St",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723152541",
            "country_code": "US",
            "telephone_number": "870-763-2139",
            "fax_number": "870-763-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Southpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724506238",
            "country_code": "US",
            "telephone_number": "870-239-2244",
            "fax_number": "870-236-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012001",
            "country_code": "US",
            "telephone_number": "870-735-5118",
            "fax_number": "870-735-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 David St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "AR",
            "postal_code": "724227268",
            "country_code": "US",
            "telephone_number": "870-857-3655",
            "fax_number": "870-857-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARISA HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING COODINATOR",
        "authorized_official_telephone_number": "479-725-5115"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.