DIAGNOSTIC PHYSICIANS OF ARKANSAS, PA - NPI 1265544373 - Family Medicine in North Little Rock, AR

Q: What is Diagnostic Physicians Of Arkansas, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

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About Diagnostic Physicians Of Arkansas, Pa NPPES

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

DIAGNOSTIC PHYSICIANS OF ARKANSAS, PA (NPI 1265544373) is a healthcare organization registered as an adult medicine in North Little Rock, Arkansas and active in the NPI registry since August 2006. The organization lists Ronald Edward Edgerton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265544373

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameDIAGNOSTIC PHYSICIANS OF ARKANSAS, PA

Location Address4509 E MCCAIN BLVDNorth Little Rock, AR 72117-2902

Mailing Address4509 E Mccain BlvdNorth Little Rock, AR 72117-2902 · (501) 945-8080 · Fax (501) 945-5040

Phone(501) 945-8080

Fax(501) 945-5040

Organization SubpartNo

Authorized OfficialRonald Edward EdgertonAdministrator · (501) 955-1156

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 6, 2007

✔ NPI 1265544373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in AR · MC2053

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

4509 E MCCAIN BLVD, North Little Rock, AR 72117

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Other Identifiers 3

OtherCF9997AR · Rail Road Medicare

Other5C147AR · Blue Cross Blue Shield

Medicare ID-Type Unspecified5C147AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

SHERRI LEE DIAMOND M.D.

Family Medicine (Adult Medicine)