ARKANSAS DERMATOLOGY CLINIC PA
NPI 1497713580
Dermatology in Little Rock, AR

Active since May 01, 2006
500 SOUTH UNIVERSITY AVENUE, SUITE 704, LITTLE ROCK, AR 72205(501) 666-5451(501) 663-3335 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arkansas Dermatology Clinic Pa NPPES

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

ARKANSAS DERMATOLOGY CLINIC PA (NPI 1497713580) is a healthcare organization registered as a dermatology in Little Rock, Arkansas and active in the NPI registry since May 2006. The organization lists Carl Joseph Raque, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1497713580
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARKANSAS DERMATOLOGY CLINIC PA
Location Address500 SOUTH UNIVERSITY AVENUE, SUITE 704Little Rock, AR 72205-5309
Mailing Address500 South University Avenue, Suite 704Little Rock, AR 72205-5309 · (501) 666-5451 · Fax (501) 663-3335
Fax(501) 663-3335
Organization SubpartNo
Authorized OfficialCarl Joseph RaquePhysician Owner · (501) 666-5451
Enumeration DateMay 1, 2006
Last NPPES UpdateNovember 16, 2007
NPI 1497713580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · R2029
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
500 SOUTH UNIVERSITY AVENUE, Little Rock, AR 72205

Other Identifiers 3

Other54262AR · Bcbs
Medicare UPINB90508
Medicare PIN57400AR

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 2

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

Radiology (Diagnostic Radiology)
500 SOUTH UNIVERSITY AVENUE, SUITE 101
LITTLE ROCK, AR 72205
Obstetrics & Gynecology (Gynecology)
500 SOUTH UNIVERSITY AVENUE, SUITE 709
LITTLE ROCK, AR 72205

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 Arkansas Dermatology Clinic PA's NPI number?

The NPI number for Arkansas Dermatology Clinic PA is 1497713580. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Arkansas Dermatology Clinic PA located?

Arkansas Dermatology Clinic PA is located at 500 South University Avenue Suite 704, Little Rock, AR 72205. The listed phone number is (501) 666-5451.

What is Arkansas Dermatology Clinic PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Arkansas Dermatology Clinic PA was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.