Provider Demographics
NPI:1831103050
Name:REEVES, AMY CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CAROL
Last Name:REEVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:CAROL
Other - Last Name:PARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2605 ALBERT PIKE RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4514
Mailing Address - Country:US
Mailing Address - Phone:501-767-1144
Mailing Address - Fax:
Practice Address - Street 1:2605 ALBERT PIKE RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4514
Practice Address - Country:US
Practice Address - Phone:501-767-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3979207P00000X
ARE-3979207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160741001Medicaid
AR5N311Medicare PIN
ARI38249Medicare UPIN