Active NPI
Arkansas Health Group
Doing business as Pleasant Valley Family Clinic
- Family Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARKANSAS HEALTH GROUP
- Doing business as
- Pleasant Valley Family Clinic
- Practice address
- 11719 Hinson Rd
Suite 110
Little Rock, AR 72212-3402 - Phone
- (501) 224-2875
- Fax
- (501) 221-9251
- NPI assigned
- Aug 5, 2007
- Last updated
- Apr 11, 2019
- 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
- Mr. Will L Rusher
- Title
- Ceo
- Phone
- (501) 812-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11719 Hinson Rd
Suite 110
Little Rock, AR 72212-3402
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167541002 | Medicaid | AR |
Other names 1
- Pleasant Valley Family Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080308000137 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 7 practitioners Practice locations: Little Rock, AR |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health On-Site Clinic
- Family Medicine Physician
- Little Rock, AR
- NPI 1386280691
Member Of
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
Member Of
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Cabot, AR
- NPI 1336655968
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1740736180
-
- Family Medicine Physician
- Heber Springs, AR
- NPI 1912945528
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1811968092
-
- Family Nurse Practitioner
- Maumelle, AR
- NPI 1114381472
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1366658346
-
- Family Medicine Physician
- Benton, AR
- NPI 1205934957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1942491105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11719 HINSON RD",
"address_2": "SUITE 110",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722123402",
"telephone_number": "501-224-2875",
"fax_number": "501-221-9251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-812-7500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167541002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pleasant Valley Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
- Arkansas Health Group (Baptist Health Sleep Clinic)
- Arkansas Health Group (Baptist Health Radiology Physicians)
- Arkansas Health Group (Baptist Health Gastroenterology Clinic)
- Arkansas Health Group
- Arkansas Health Group (Arkansas Perinatal Services)
- Arkansas Health Group (Baptist Health Downtown Care)
- Arkansas Healthcare Personnel
- Arkansas Hearing Solutions
- Arkansas Heart & Lung Institute
- Arkansas Heart Hospital Anesthesia Consultants PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.