Arkansas Dermatology Pllc
LBN: Arkansas Dermatology Pllc
Arkansas Dermatology Pllc is an health care organization with primary practice located at 9601 Baptist Health Dr Ste 860 , Little Rock AR 72205-6375. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty.
Arkansas Dermatology Pllc can be contacted via phone (501) 975-7455, or through Thomas, Kemmerly Drake via phone (501) 515-8136.
Contact Information
Primary practice address
9601 Baptist Health Dr Ste 860
Little Rock AR 72205-6375
Phone: (501) 975-7455
Fax: (501) 975-3631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1013930320 |
|---|---|
| LBN Legal business name | Arkansas Dermatology Pllc |
| DBA Doing business as | |
| Authorized official | Thomas, Kemmerly Drake |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Apr 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013930320 | NPPES |
| Arkansas | MEDICAID | 155107002 |
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