MEDICARE: LUIS M CARRASCO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	33347	KY
2	208000000X	Pediatrics Physician	E-9613	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	183935	OTHER	KY	GROUP MEDCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306808829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS M CARRASCO MD

Provider Business Mailing Address
First Line	:	614 E EMMA AVE
Second Line	:	STE 300
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-4469
Country	:	US
Telephone Number	:	479-751-7417
Fax Number	:	479-751-4898

Provider Business Practice Location Address
First Line	:	1233 WEST POPLAR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-4249
Country	:	US
Telephone Number	:	479-636-9235
Fax Number	:	479-631-0374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	09/23/2016

Similar Medicare Providers

1134177439 — MARY ELLEN WILLIAMS ANP
Practice Location Address:

1114 POPLAR PL
ROGERS, AR
72756-4249

Practice Phone: 479-636-9235
Practice Fax: 479-631-0374

1720233661 — LINDSEY SUITT LCSW
Practice Location Address:

1108 POPLAR PL
ROGERS, AR
72756-4249

Practice Phone: 479-372-6464
Practice Fax: 479-372-6460

1710211461 — STACEY LYNETTE BANKSTON LCSW
Practice Location Address:

1233 WEST POPLAR
ROGERS, AR
72756-4249

Practice Phone: 479-636-9235
Practice Fax: 479-631-0374

1881018786 — MY VILLAGE SMILES, PLLC
Practice Location Address:

1104 POPLAR PL
ROGERS, AR
72756-4249

Practice Phone: 479-621-9500
Practice Fax: 479-202-5361

1376969352 — JESSICA BOYLLS QBHP
Practice Location Address:

1108 POPLAR PL
ROGERS, AR
72756-4249

Practice Phone: 479-372-6464
Practice Fax: 479-372-6460

1881063410 — JESSICA TURNER LPC
Practice Location Address:

1108 POPLAR PL
ROGERS, AR
72756-4249

Practice Phone: 479-372-6464
Practice Fax: 479-372-6460

Directions to “ LUIS M CARRASCO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.