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MAUMELLE MEDICAL CLINIC
NPI 1073629408
Family Medicine in Maumelle, AR

Active since August 21, 2006
600 PINE FOREST DR, STE 200, MAUMELLE, AR 72113(501) 803-9900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maumelle Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAUMELLE MEDICAL CLINIC (NPI 1073629408) is a healthcare organization registered as a family medicine in Maumelle, Arkansas and active in the NPI registry since August 2006. The organization lists Jerry Poole, Manager, as its authorized official.

NPPES Registry Identity

NPI1073629408
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAUMELLE MEDICAL CLINIC
Location Address600 PINE FOREST DR, STE 200Maumelle, AR 72113-6910
Mailing Address600 Pine Forest Dr, Ste 200Maumelle, AR 72113-6910 · (501) 803-9900
Phone(501) 803-9900
Organization SubpartNo
Authorized OfficialJerry PooleManager · (501) 803-0999
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073629408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 PINE FOREST DR, Maumelle, AR 72113
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARKANSAS BACK CLINIC
Orthopaedic Surgery
600 PINE FOREST DR
MAUMELLE, AR 72113
Pulaski County (501) 803-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maumelle Medical Clinic's NPI number?

The NPI number for Maumelle Medical Clinic is 1073629408. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Maumelle Medical Clinic located?

Maumelle Medical Clinic is located at 600 Pine Forest Dr Ste 200, Maumelle, AR 72113. The listed phone number is (501) 803-9900.

What is Maumelle Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Maumelle Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.