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MEDICAL PARK PRIMARY CARE, LLC
NPI 1871024240
Family Medicine in Conway, AR

Active since March 27, 2017CLIA 04D2132894 · Waiver
650 UNITED DR, SUITE 130, CONWAY, AR 72032(501) 504-6052 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Park Primary Care, Llc NPPES

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

MEDICAL PARK PRIMARY CARE, LLC (NPI 1871024240) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Smitha Thomas, Md, as its authorized official.

NPPES Registry Identity

NPI1871024240
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL PARK PRIMARY CARE, LLC
Location Address650 UNITED DR, SUITE 130Conway, AR 72032-7826
Mailing Address650 United Dr, Suite 130Conway, AR 72032-7826
Phone(501) 504-6052
Organization SubpartNo
Authorized OfficialSmitha ThomasMd · (501) 504-6052
Enumeration DateMarch 27, 2017
✔ NPI 1871024240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-4689
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.
650 UNITED DR, Conway, AR 72032
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2132894

Medical Park Primary Care LLC · Conway, AR
Active · expires Jun 28, 2027
CLIA Number04D2132894
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDr. Thomas Smitha
Laboratory Phone(501) 499-9444
Laboratory LocationMedical Park Primary Care LLC650 United Dr Ste 130, Conway, AR 72032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CENTRAL ARKANSAS SLEEP HEALTH, LLC
Otolaryngology (Sleep Medicine)
650 UNITED DR, SUITE 210A
CONWAY, AR 72032
Faulkner County (501) 852-5500
DR. SMITHA JAMES THOMAS M.D
Family Medicine
650 UNITED DR, STE 130
CONWAY, AR 72032
Faulkner County (501) 499-9444
MRS. SARITA CARVER RRT
Respiratory Therapist, Registered (Pulmonary Rehabilitation)
650 UNITED DR, SUITE 210
CONWAY, AR 72032
Faulkner County (501) 525-2770
DR. JAMES T. THOMAS M.D.
Internal Medicine (Cardiovascular Disease)
650 UNITED DR, STE 300
CONWAY, AR 72032
Faulkner County (501) 205-8389
CENTRAL ARKANSAS CORF
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
650 UNITED DR, SUITE 200
CONWAY, AR 72032
Faulkner County (501) 291-5759

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 Medical Park Primary Care, LLC's NPI number?

The NPI number for Medical Park Primary Care, LLC is 1871024240. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Medical Park Primary Care, LLC located?

Medical Park Primary Care, LLC is located at 650 United Dr Suite 130, Conway, AR 72032. The listed phone number is (501) 504-6052.

What is Medical Park Primary Care, LLC's specialty?

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

Does Medical Park Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2132894) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Park Primary Care, LLC was last updated on March 27, 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.