Active NPI
Central Arkansas Sleep Health, LLC
- Sleep Medicine (Otolaryngology) Physician
- Conway, AR
National Provider Identifier
1073051066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- E-1292
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ladly Abraham, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171002000752 | AR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9739454752 | Practice locations: Conway, AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Conway, AR
- NPI 1972537090
-
- Otolaryngology Physician
- Conway, AR
- NPI 1437152329
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
- Central Arkansas Foot and Ankle Specialist
- Central Arkansas Heart Center
- Central Arkansas OBGYN PLLC
- Central Arkansas Pediatrics, P.a.
- Central Arkansas Sleep Diagnostics, Inc (Dr. Tyrone T. Lee, Conway Pulmonology Clinic)
- Central Arkansas Testing & Therapy Center
- Central Dental - Conway, LLC
- Ashley Chacko, MOT, OTR/L
- Ashlyn C Chambers, BT
- Julia Elizabeth Chambers, APRN, FNP-C
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.