Organization Active NPI

Central Arkansas Sleep Health, LLC

  • Sleep Medicine (Otolaryngology) Physician
  • Conway, AR
National Provider Identifier
1073051066
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
E-1292 Issued in AR
Legal business name
CENTRAL ARKANSAS SLEEP HEALTH, LLC
Practice address
650 United Dr
Suite 210a
Conway, AR 72032-7826
Phone
(501) 852-5500
Fax
(501) 358-6196
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Ladly Abraham, M.D.NPI 1972537090
Title
Member
Phone
(501) 852-5500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X E-1292 AR Primary

Addresses

Primary practice location

650 United Dr
Suite 210a
Conway, AR 72032-7826

Mailing address

650 United Dr
Suite 210a
Conway, AR 72032-7826
Phone (501) 852-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002000752 AR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9739454752 Practice locations: Conway, AR

National Provider Directory

National Provider Directory

Locations

650 United Dr
Ste 210A
Conway, AR 72032
Phone (501) 232-2724

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1073051066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNITED DR",
            "address_2": "SUITE 210A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327826",
            "telephone_number": "501-852-5500",
            "fax_number": "501-358-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR",
            "address_2": "SUITE 210A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327826",
            "telephone_number": "501-852-5500",
            "fax_number": "501-358-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS SLEEP HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "LADLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-852-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "AR",
            "license": "E-1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.