Provider Demographics
NPI:1013188036
Name:ON THE GO MED INC
Entity Type:Organization
Organization Name:ON THE GO MED INC
Other - Org Name:PERRY PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:WOODS PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-455-9500
Mailing Address - Street 1:11321 I-30 STE 304
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-7067
Mailing Address - Country:US
Mailing Address - Phone:501-455-9500
Mailing Address - Fax:501-455-9505
Practice Address - Street 1:11321 I-30 STE 304
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-7067
Practice Address - Country:US
Practice Address - Phone:501-455-9500
Practice Address - Fax:501-455-9505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty