Imwell Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A01024 Issued in AR

Legal business name

IMWELL HEALTH

Practice address

401 W Capitol Ave Ste 345
Little Rock, AR 72201-3475

Phone

(501) 301-7300

Fax

(501) 244-0572

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Ann Dornblaser

Title

Director of Corporate Operations

Phone

(479) 434-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Imwell Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Imwell Health

  • Clinic/Center
  • Fort Smith, AR
  • NPI 1336337336
  NPD tax ID

Locations

Practitioners 1

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

• Rhodora Amalian Raghavan, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1467418749
  NPD (past)

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912221268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S 17TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014700",
            "telephone_number": "479-434-3333",
            "fax_number": "479-434-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CAPITOL AVE STE 345",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013475",
            "telephone_number": "501-301-7300",
            "fax_number": "501-244-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMWELL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DORNBLASER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "479-434-3333"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "A01024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LICENSE",
            "identifier": "A01024",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Ilyas, MD
• Bryan R Imamura, MD
• Implied Human Dynamics Personal Care Home (Mary Jane Seacole)
• Adil Imran, M.D.
• Muhammad Imran, MD
• In His Hands Care, LLC
• Sumant Inamdar, M.B.B.S, M.D., M.P.H
• Lauren Ince, RD, LD
• Meagan Inclan, DDS
• Paul M Inclan, MD

• Primary Care Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.