Organization Active NPI

Pwclr, P.a.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1932949385
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PWCLR, P.A.
Practice address
1225 Breckenridge Dr Ste 110
Little Rock, AR 72205-1565
Phone
(501) 359-6655
Fax
(501) 359-6650
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Amy Coonfield
Title
Billing Director
Phone
(479) 365-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1225 Breckenridge Dr Ste 110
Little Rock, AR 72205-1565

Mailing address

PO Box 241247
Little Rock, AR 72223-0005
Phone (501) 359-6655

Other names 1

  • Pinnacle Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620001177 AR Part B Supplier - Clinic/Group Practice 9739622630 Receives reassigned benefits from 3 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

1226 Ferguson Dr
Benton, AR 72015

1225 Breckenridge Dr
Ste 110
Little Rock, AR 72205
Phone (501) 359-6655

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1932949385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241247",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230005",
            "telephone_number": "501-359-6655",
            "fax_number": "501-359-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 BRECKENRIDGE DR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051565",
            "telephone_number": "501-359-6655",
            "fax_number": "501-359-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWCLR, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "COONFIELD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "479-365-0001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 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.

Verify at the official NPI Registry.