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NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC
NPI 1306877576
Family Medicine in N Little Rock, AR

Active since July 06, 2006
400 W PERSHING BLVD, N LITTLE ROCK, AR 72114(501) 771-7717(501) 771-0550 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Little Rock Primary Care And Diagnostic Clinic Pllc NPPES

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

NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC (NPI 1306877576) is a healthcare organization registered as a family medicine in N Little Rock, Arkansas and active in the NPI registry since July 2006. The organization lists Derek Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1306877576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC
Location Address400 W PERSHING BLVDN Little Rock, AR 72114-2146
Mailing Address400 W Pershing BlvdN Little Rock, AR 72114-2146 · (501) 771-7717 · Fax (501) 771-0550
Phone(501) 771-7717
Fax(501) 771-0550
Organization SubpartNo
Authorized OfficialDerek LewisPresident · (501) 771-7717
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1306877576 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.
400 W PERSHING BLVD, N Little Rock, AR 72114
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Other Identifiers 3

Other5B979AR · Blue Cross
Medicare PIN5B979AR
Medicaid133705002AR

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 3

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

LATONYA HARRIS
Nurse Practitioner (Family)
400 W PERSHING BLVD
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717
ARIEL ELIZABETH ROHDE PA
Physician Assistant
400 W PERSHING BLVD
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717
ROSE MARIE SHAW-BULLOCK M.D.
Family Medicine
400 W PERSHING BLVD
N LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717

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 North Little Rock Primary Care And Diagnostic Clinic PLLC's NPI number?

The NPI number for North Little Rock Primary Care And Diagnostic Clinic PLLC is 1306877576. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is North Little Rock Primary Care And Diagnostic Clinic PLLC located?

North Little Rock Primary Care And Diagnostic Clinic PLLC is located at 400 W Pershing Blvd, N Little Rock, AR 72114. The listed phone number is (501) 771-7717.

What is North Little Rock Primary Care And Diagnostic Clinic PLLC'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 North Little Rock Primary Care And Diagnostic Clinic PLLC was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.