NPIMap

Organization Active NPI

Arkansas Urogynecology and Womens Health LLC

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1063258218
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ARKANSAS UROGYNECOLOGY AND WOMENS HEALTH LLC
Practice address
5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417
Phone
(501) 480-8800
Fax
(501) 480-8815
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Sallie Oliphant, MDNPI 1205032281
Title
Authorized Official
Phone
(412) 480-9664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088F0040X

Addresses

Primary practice location

5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417

Mailing address

5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821003578 AR Part B Supplier - Clinic/Group Practice 4082152053 Receives reassigned benefits from 6 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5 Saint Vincent Cir
Ste 300
Little Rock, AR 72205
Phone (501) 480-8800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHFDD

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1063258218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055417",
            "telephone_number": "501-480-8800",
            "fax_number": "501-480-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS UROGYNECOLOGY AND WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "OLIPHANT",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "412-480-9664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.