Provider Demographics
NPI:1477515146
Name:DOCTORS HEALTH GROUP
Entity Type:Organization
Organization Name:DOCTORS HEALTH GROUP
Other - Org Name:FIRST CARE HIGHLAND PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:MATT
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-932-7024
Mailing Address - Street 1:4334 E HIGHLAND DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6621
Mailing Address - Country:US
Mailing Address - Phone:870-802-0013
Mailing Address - Fax:870-972-5140
Practice Address - Street 1:4334 E HIGHLAND DR
Practice Address - Street 2:SUITE B
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6621
Practice Address - Country:US
Practice Address - Phone:870-802-0013
Practice Address - Fax:870-972-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C019Medicare ID - Type Unspecified