Active NPI
Mike S. McFarland Mdpa
- Clinic/Center
- Little Rock, AR
National Provider Identifier
1881605947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MIKE S. MCFARLAND MDPA
- Practice address
- 10700 N Rodney Parham Rd Ste C-1a
Little Rock, AR 72212-4191 - Phone
- (501) 830-2020
- Fax
- (501) 830-2021
- NPI assigned
- Aug 11, 2006
- 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
- Amy Offutt
- Title
- Controller
- Phone
- (870) 536-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
10700 N Rodney Parham Rd Ste C-1a
Little Rock, AR 72212-4191
Mailing address
17200 Chenal Pkwy
Suite 440
Little Rock, AR 72223-5944
Phone (501) 830-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103032002 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040402001425 | AR | Part B Supplier - Clinic/Group Practice | 5092708495 |
Receives reassigned benefits from 14 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Conway, AR; Hot Springs, AR; Little Rock, AR; North Little Rock, AR; Pine Bluff, AR |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Russell P Jayne
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Little Rock, AR
- NPI 1154934016
-
- Ophthalmology Physician
- Conway, AR
- NPI 1265091318
-
- Clinic/Center
- Hot Springs, AR
- NPI 1326077801
-
- Clinic/Center
- North Little Rock, AR
- NPI 1821806662
-
- Clinic/Center
- Pine Bluff, AR
- NPI 1073549242
Locations
17200 Chenal Pkwy
Ste 440
Little Rock, AR 72223
Phone (501) 830-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1881605947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17200 CHENAL PKWY",
"address_2": "SUITE 440",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722235944",
"telephone_number": "501-830-2020",
"fax_number": "501-830-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 N RODNEY PARHAM RD STE C-1A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722124191",
"telephone_number": "501-830-2020",
"fax_number": "501-830-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKE S. MCFARLAND MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "OFFUTT",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "870-536-4100"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103032002",
"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 Jun 24, 2024; 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.