Organization Active NPI

Archie Hearne MD PA

  • Health Maintenance Organization
  • Little Rock, AR
National Provider Identifier
1972535441
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
N-6227 Issued in AR
Legal business name
ARCHIE HEARNE MD PA
Practice address
1001 Wright Ave
Little Rock, AR 72206-1062
Phone
(501) 224-2800
Fax
(501) 224-2829
NPI assigned
Jul 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Archie Hearne, M.D.
Title
Family Practice / Ped'S
Phone
(501) 224-2800

Practitioners 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0968414Hearne Family Practice Clinic1001 Wright Avenue, Little Rock, AR 72206Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

1001 Wright Ave
Little Rock, AR 72206
Phone (501) 224-2800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X N-6227 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 Wright Ave
Little Rock, AR 72206-1062

Mailing address

1001 Wright Ave
Little Rock, AR 72206-1062
Phone (501) 224-2800

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
770216502MedicaidAR
138830002MedicaidAR

Other names 1

NPPES NPI Registry
  • Hearne Family Practice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2014.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1972535441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WRIGHT AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061062",
            "telephone_number": "501-224-2800",
            "fax_number": "501-224-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WRIGHT AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061062",
            "telephone_number": "501-224-2800",
            "fax_number": "501-224-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE HEARNE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "FAMILY PRACTICE / PED'S",
        "authorized_official_telephone_number": "501-224-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AR",
            "license": "N-6227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770216502",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138830002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearne Family Practice",
            "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 Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.