Active NPI
Arkansas Health Group
Doing business as Baptist Health Family Clinic- Perryville
- Family Medicine Physician
- Perryville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARKANSAS HEALTH GROUP
- Doing business as
- Baptist Health Family Clinic- Perryville
- Practice address
- 518 N Fourche Ave
Perryville, AR 72126-9701 - Phone
- (501) 889-5543
- Fax
- (501) 889-5546
- NPI assigned
- Oct 13, 2006
- Last updated
- Apr 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Will L Rusher
- Title
- Ceo
- Phone
- (501) 812-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
518 N Fourche Ave
Perryville, AR 72126-9701
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5388075 | Other | AR | AETNA |
| 128272002 | Medicaid | AR |
Other names 1
- Baptist Health Family Clinic- Perryville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000111 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 2 practitioners Practice locations: Perryville, AR |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health Family Clinic - Russellville
- Rural Health Clinic/Center
- Russellville, AR
- NPI 1689467102
Member Of
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
Member Of
Locations
10915 N Rodney Parham Rd
Ste G
Little Rock, AR 72212
Phone (501) 202-2001
11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7215
3201 Springhill Dr
Ste 100
North Little Rock, AR 72117
Phone (501) 955-4530
313 W Main St
Perryville, AR 72126
Phone (501) 889-5543
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Nurse Practitioner
- Perryville, AR
- NPI 1417456443
-
- Family Medicine Physician
- Perryville, AR
- NPI 1609882497
-
- Neurology Physician
- Little Rock, AR
- NPI 1891727855
-
- Family Medicine Physician
- Clarendon, AR
- NPI 1811174238
-
- Neurological Surgery Physician
- Little Rock, AR
- NPI 1679598684
-
- Family Medicine Physician
- Sherwood, AR
- NPI 1558304527
-
- Rheumatology Physician
- Quincy, IL
- NPI 1881667152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1831289214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N FOURCHE AVE",
"city": "PERRYVILLE",
"state": "AR",
"postal_code": "721269701",
"telephone_number": "501-889-5543",
"fax_number": "501-889-5546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-812-7500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5388075",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128272002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Family Clinic- Perryville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perryville, 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.