Little Rock Dermatology Clinic P.A.
NPI 1215005731ActiveOrganization· Dermatology· Little Rock, AR
Dermatology in Little Rock, Arkansas, registered in NPPES in December 2006. The authorized official on file is Marion Nixon, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215005731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | Aug 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 5C206 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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