Provider Demographics
NPI:1831760438
Name:ASPIRE MEDICAL PLLC
Entity type:Organization
Organization Name:ASPIRE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:870-335-8486
Mailing Address - Street 1:1106 SUMMERHILL DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-5566
Mailing Address - Country:US
Mailing Address - Phone:187-033-5848
Mailing Address - Fax:
Practice Address - Street 1:1106 SUMMERHILL DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-5566
Practice Address - Country:US
Practice Address - Phone:870-335-8486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty