| Pleasant Valley Family Clinic | |
|
11719 Hinson Rd Suite 110 Little Rock AR 72212-3402 | |
| (501) 224-2875 | |
| (501) 221-9251 |
| Full Name | Pleasant Valley Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11719 Hinson Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Family Clinic 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Pleasant Valley Family Clinic 11719 Hinson Rd Suite 110 Little Rock AR 72212-3402 Ph: (501) 224-2875 |
| NPI Number | 1942491105 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20080308000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942491105 | NPI | - | NPPES |
| 167541002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert M Cowherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912945528 PECOS PAC ID: 7517067952 Enrollment ID: I20070713000371 |
| Provider Name | Russell L Cranford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811968092 PECOS PAC ID: 6204837313 Enrollment ID: I20100429000468 |
| Provider Name | Elizabeth W Irby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366658346 PECOS PAC ID: 4284735069 Enrollment ID: I20110121000946 |
| Provider Name | Justin M Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790191914 PECOS PAC ID: 8628299013 Enrollment ID: I20141029000249 |
| Provider Name | Terri Lynn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629461892 PECOS PAC ID: 0446570618 Enrollment ID: I20150529001094 |
| Provider Name | Laura J Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381472 PECOS PAC ID: 9537457890 Enrollment ID: I20161019002222 |
| Provider Name | Belinda K Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736180 PECOS PAC ID: 6305124538 Enrollment ID: I20161024000342 |
Lane Eye Care Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-225-4648 Fax: 501-225-8628 | |
Primary Care Of Arkansas Chrystal Johnson Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S University Ave, Suite 515, Little Rock, AR 72205 Phone: 501-666-6100 Fax: 501-666-6107 | |
Perry Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 I-30 Ste 304, Little Rock, AR 72209 Phone: 501-455-9500 Fax: 501-455-9505 | |
Apex Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 Phone: 501-246-7274 Fax: 501-421-4161 | |
Evgueni Roudachevski, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11912 Kanis Rd, Suite F2, Little Rock, AR 72211 Phone: 501-227-8020 Fax: 501-227-8826 | |
Specialty Care Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-4300 Fax: 501-821-4300 | |
Benny J Green Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14309 Cantrell Rd, Ste 7, Little Rock, AR 72223 Phone: 501-224-6727 Fax: 501-224-0674 |