Individual provider Active NPI

Michael Todd Pilcher, MD

  • Internal Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1972619377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C4746 Issued in AR
Practice address
Primary Care Clinic
11C3/NLR 2200 Ft. Roots Dr
North Little Rock, AR 72114
Phone
(501) 257-3347
Fax
(501) 257-2026
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C4746 AR Primary

Addresses

Primary practice location

Primary Care Clinic
11C3/NLR 2200 Ft. Roots Dr
North Little Rock, AR 72114

Mailing address

108 Manitou Dr
Maumelle, AR 72113-5853
Phone (501) 357-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114001721 AR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1658266002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972619377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MANITOU DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135853",
            "telephone_number": "501-357-3347",
            "fax_number": "501-257-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMARY CARE CLINIC",
            "address_2": "11C3/NLR 2200 FT. ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-3347",
            "fax_number": "501-257-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHER",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.