Active NPI
Petite Roche Emergency Physicians
- Emergency Medicine Physician
- Little Rock, AR
National Provider Identifier
1861504409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PETITE ROCHE EMERGENCY PHYSICIANS
- Practice address
- 2 Saint Vincent Cir
Little Rock, AR 72205-5423 - Phone
- (501) 664-5360
- Fax
- (214) 712-2487
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 20, 2008
- 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
- Mr. James L. Murphy
- Title
- Executive Vice President
- Phone
- 21471224000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Mailing address
1717 Main St
Suite 5200
Dallas, TX 75201-4612
Phone (214) 712-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5F619 | Other | AR | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1861504409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"address_2": "SUITE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014612",
"telephone_number": "214-712-2000",
"fax_number": "214-712-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-664-5360",
"fax_number": "214-712-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETITE ROCHE EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "21471224000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "5F619",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in 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 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.