Active NPI
Pwclr, P.a.
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1932949385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1790104958
-
- Physician Assistant
- Little Rock, AR
- NPI 1770051666
-
- Podiatrist
- Sherwood, AR
- NPI 1639238181
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.