M.S. Clinc of Arkansas, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

M.S. CLINC OF ARKANSAS, LLC

Practice address

2215 Wildwood Ave
Suite 200
Sherwood, AR 72120-5089

Phone

(501) 819-0901

Fax

(501) 492-6478

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Kathryn T. Chenault, M.D.NPI 1942290481

Title

Owner

Phone

(501) 819-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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

• Kathryn T Chenault, MD

  • Neurology Physician
  • Sherwood, AR
  • NPI 1942290481
  Medicare reassignment NPD Authorized official
• Brenna Leanne Fitzgerald, APRN

  • Nurse Practitioner
  • North Little Rock, AR
  • NPI 1437337110
  Medicare reassignment NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1962665117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "STE 200",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-819-0901",
            "fax_number": "501-492-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 200",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-819-0901",
            "fax_number": "501-492-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.S. CLINC OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "CHENAULT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-819-0901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotus Behavioral Health LLC
• Rebekah Greene Lowery, PT
• Amy N Loyd
• Marvin Lucas
• Anna Grace Lung
• Teresa Mahan
• Jeffrey Maher, PHARM.D.
• Alyssa Majeske
• Emaan Malik
• Mark Marak

• Health Service Clinic/Center in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.