Arkansas Dermatology Clinic PA
NPI 1497713580ActiveOrganization· Dermatology· Little Rock, AR
Dermatology in Little Rock, Arkansas, registered in NPPES in May 2006. The authorized official on file is Carl Joseph Raque, MD, Physician Owner.
Overview
| NPI | 1497713580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2006 |
| Last updated in NPPES | Nov 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | R2029 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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