Provider Demographics
NPI:1841270774
Name:DWORKIN, JOEL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:DWORKIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SOUTH UNIVERSITY
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-663-0029
Mailing Address - Fax:501-663-0099
Practice Address - Street 1:500 S UNIVERSITY
Practice Address - Street 2:SUITE 214
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-663-0029
Practice Address - Fax:501-663-0099
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4077207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR154326001Medicaid
ARH92788Medicare UPIN
H92788Medicare UPIN
AR154326001Medicaid
AR5M8957498Medicare PIN