Active NPI
Central Arkansas Gastroenterology Clinic, PA
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1073521175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E3487
- Legal business name
- CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA
- Practice address
- 212 Natural Resources Dr
Little Rock, AR 72205-1573 - Phone
- (501) 664-7200
- Fax
- (501) 664-7205
- NPI assigned
- Aug 4, 2006
- 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
- Dr. Keith Edward Morris, M.D.
- Title
- President
- Phone
- (501) 664-7200
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E3487 | AR | Primary |
Addresses
Primary practice location
212 Natural Resources Dr
Little Rock, AR 72205-1573
Mailing address
PO Box 55073
Little Rock, AR 72215-5073
Phone (501) 664-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100423000199 | AR | Part B Supplier - Clinic/Group Practice | 3375670391 |
Receives reassigned benefits from 2 practitioners Practice locations: Little Rock, AR; Searcy, AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1073521175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55073",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722155073",
"telephone_number": "501-664-7200",
"fax_number": "501-664-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 NATURAL RESOURCES DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051573",
"telephone_number": "501-664-7200",
"fax_number": "501-664-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-664-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E3487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Central Ar Speech & Hearing
- Central Arkansas Ambulatory Surgery Center, LLC
- Central Arkansas Chiropractic
- Central Arkansas Clinic, PLLC
- Central Arkansas Gastroenterology Anesthesia Services, LLC
- Central Arkansas Home Care
- Central Arkansas Infusion Specialist LLC
- Central Arkansas Lasik
- Central Arkansas Medical Partners, PLLC
- Central Arkansas Ophthalmology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.