Arkansas Plastic Surgery, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ARKANSAS PLASTIC SURGERY, P.A.

Practice address

9500 Kanis Rd
Suite 502
Little Rock, AR 72205-6324

Phone

(501) 219-8388

Fax

(501) 217-2520

NPI assigned

Jan 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rudy H Burns

Title

Administrator

Phone

(501) 219-8388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H Bauer, MD

  • Plastic Surgery Physician
  • Little Rock, AR
  • NPI 1235181066
  Medicare reassignment Care Compare group NPD
• Zachary Tuck Young

  • Plastic Surgery Physician
  • Little Rock, AR
  • NPI 1699092205
  Medicare reassignment Care Compare group NPD
• Gary E Talbert, MD

  • Plastic Surgery Physician
  • Little Rock, AR
  • NPI 1033161609
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1033394457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "SUITE 502",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-219-8388",
            "fax_number": "501-217-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "SUITE 502",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-219-8388",
            "fax_number": "501-217-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-219-8388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arkansas Primary Care Clinics PA
• Arkansas Psychiatric Clinic Clinical Research Trials, PA
• Arkansas Psychiatric Clinic, Professional Association
• Arkansas Psychiatry and Behavioral Health
• Arkansas Quality Transit

• Plastic Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.