RIVERSIDE CLINIC – NPI #1144283169
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

RIVERSIDE CLINIC is a provider located in NORTH LITTLE ROCK, AR. NPPES has assigned the NPI number 1144283169 to RIVERSIDE CLINIC on April 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE CLINIC” is a dba name, the actual legal business name for this organization is THOMAS L. EANS, MD. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Mar 30, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE CLINIC below.

NPI Profile for
THOMAS L. EANS, MD

NPI Number
1144283169
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THOMAS L. EANS, MD
Doing Business As (dba): RIVERSIDE CLINIC
Primary location
11749 MAUMELLE BOULEVARD
NORTH LITTLE ROCK, AR 72113
Phone: (501) 663-3732 Fax: (501) 663-0076
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS EANS
OWNER
Phone: (501) 663-3732
Updated
Identifiers

Identifiers for RIVERSIDE CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSAR51496
MEDICAIDAR116905002
MEDICAIDAR101023001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 AR C5049

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.