Provider Demographics
NPI:1588651988
Name:SPRINGHILL FAMILY MEDICINE PA
Entity Type:Organization
Organization Name:SPRINGHILL FAMILY MEDICINE PA
Other - Org Name:BURKS FAMILY MEDICINE PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-945-8800
Mailing Address - Street 1:3343 SPRINGHILL DR
Mailing Address - Street 2:SUITE 3005
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2929
Mailing Address - Country:US
Mailing Address - Phone:501-945-8800
Mailing Address - Fax:501-945-8819
Practice Address - Street 1:3343 SPRINGHILL DR
Practice Address - Street 2:SUITE 3005
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2929
Practice Address - Country:US
Practice Address - Phone:501-945-8800
Practice Address - Fax:501-945-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F281Medicare ID - Type Unspecified