Provider Demographics
NPI:1447220264
Name:AKIN, ERIC D (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:AKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S CHURCH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4106
Mailing Address - Country:US
Mailing Address - Phone:870-934-1462
Mailing Address - Fax:870-934-1456
Practice Address - Street 1:800 S CHURCH ST STE 201
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4106
Practice Address - Country:US
Practice Address - Phone:870-934-1462
Practice Address - Fax:870-934-1456
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43178207T00000X
ARE-3685208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1515405Medicaid
AR149914001Medicaid
TN1515405Medicaid
ARH86776Medicare UPIN