Relymd Medical Group Ar, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RELYMD MEDICAL GROUP AR, PLLC

Doing business as

RelyMD Medical Group, LLC

Practice address

1215 Twin Lakes Dr
Little Rock, AR 72205-6768

Phone

(919) 932-0928

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RELYMD MEDICAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Ronald Michael Creatore

Title

Cfo

Phone

(919) 932-0928

Specialties & licenses 1

Addresses

Other names 1

• RelyMD Medical Group, LLC Doing business as

Part of

Relymd Medical Group LLC

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1932707650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MEADOWMONT VILLAGE CIR STE 323",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177584",
            "telephone_number": "919-932-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 TWIN LAKES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056768",
            "telephone_number": "919-932-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYMD MEDICAL GROUP AR, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELYMD MEDICAL GROUP, LLC",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "CREATORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-932-0928"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelyMD Medical Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley E Reid, D.D.S.
• Tyra Reid, MD
• Mackenzie Faith Reinhart, PHARMD
• Sharon Machell Rejistre
• Megan Renee Relford
• Remedy Drug, Inc
• Remedy Drug, Inc (Remedy Drug LTC)
• Raymond Roland Remmel, M.D.
• Michael L Ren, MD
• Renal Consultants (Renal Associates)

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.