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ARKANSAS INTERNAL MEDICINE CLINIC PA
NPI 1821117565
Specialist in Little Rock, AR

Active since March 27, 2007
500 S UNIVERSITY AVE STE 605, LITTLE ROCK, AR 72205(501) 537-4590 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arkansas Internal Medicine Clinic Pa NPPES

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

ARKANSAS INTERNAL MEDICINE CLINIC PA (NPI 1821117565) is a healthcare organization registered as a specialist in Little Rock, Arkansas and active in the NPI registry since March 2007. The organization lists Solomon Chukwuemeka Mogbo, President, as its authorized official.

NPPES Registry Identity

NPI1821117565
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameARKANSAS INTERNAL MEDICINE CLINIC PA
Location Address500 S UNIVERSITY AVE STE 605Little Rock, AR 72205-5308
Mailing Address500 S University Ave Ste 605Little Rock, AR 72205-5308 · (501) 537-4590
Phone(501) 537-4590
Organization SubpartNo
Authorized OfficialSolomon Chukwuemeka MogboPresident · (501) 537-4590
Enumeration DateMarch 27, 2007
Last NPPES UpdateNovember 9, 2009
✔ NPI 1821117565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · EI875
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
500 S UNIVERSITY AVE STE 605, Little Rock, AR 72205
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Other Identifiers 4

Medicaid149931002AR
Medicare UPINH35822AR
Medicare ID-Type Unspecified5L622AR
Medicaid145707001AR

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.

MELINDA ELLEN CARTER FNP-C
Nurse Practitioner (Family)
500 S UNIVERSITY AVE STE 605
LITTLE ROCK, AR 72205
Pulaski County (501) 263-1804

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 Internal Medicine Clinic PA's NPI number?

The NPI number for Arkansas Internal Medicine Clinic PA is 1821117565. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Arkansas Internal Medicine Clinic PA located?

Arkansas Internal Medicine Clinic PA is located at 500 S University Ave Ste 605, Little Rock, AR 72205. The listed phone number is (501) 537-4590.

What is Arkansas Internal Medicine Clinic PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Arkansas Internal Medicine Clinic PA was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.