Arkansas Urology, P.a.
Organization Active NPI Urology Physician · Little Rock, AR
NPI 1093720443 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1093720443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ARKANSAS UROLOGY, P.A.
- Practice address
- 1300 Centerview Dr
Little Rock, AR 72211-4349 - Phone
- (501) 219-8900
- Fax
- (501) 537-1875
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Denise Lynn Belford
- Title
- Director Revenue Cycle Management
- Phone
- (501) 219-8900
Practitioners 59
-
John M Allen, M.D
-
Caleb B Bozeman, M.D.
-
Natalie Byars, CNP
-
Michael A Childs, MD
-
Jody Shawn Clawson, A.P.N.
-
Kevin Douglas Claybrook, M.D.
-
Adam J Cole, M.D.
-
David Mark Coussens, M.D.
-
Edwin A Diaz, M.D.
-
Timothy C Goodson, M.D.
-
Gerald Mark Heulitt, M.D.
-
Robbie Linn Hurtt, M.D.
-
Peggy Isaac, CNP
-
Gail Reede Jones, M.D.
-
Jeffrey B Marotte, M.D.
-
Nicole A Massoll, MD
-
Mary E Meek, MD
-
Allison Morrow, APN
-
Kathleen Idella-Robichaud Vasquez, APRN, AGPCNP-BC
-
Wesley Wells, PA
-
Alan Michael Alabaster, M.D.
-
Douglas E Claybrook, M.D.
-
Ralph Jonathan Henderson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040306000102 | AR | Part B Supplier - Clinic/Group Practice | 4082502547 |
Receives reassigned benefits from 42 practitioners Practice locations: Russellville, AR; White Hall, AR; North Little Rock, AR; Little Rock, AR; El Dorado, AR; Conway, AR; Bentonville, AR; Benton, AR |
| O20100930015771 | AR | DME Supplier - Physician - Urology | 4082502547 | Practice locations: Little Rock, AR |
National Provider Directory
Locations
5 Medical Park Dr
Ste GL3
Benton, AR 72015
Phone (501) 776-3288
619 N Newton Ave
El Dorado, AR 71730
Phone (870) 862-5439
801 S Bowman Rd
Ste 4
Little Rock, AR 72211
Phone (501) 246-3423
4 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 296-3273
1300 Centerview Dr
#A
Little Rock, AR 72211
4200 Stockton Dr
North Little Rock, AR 72117
Phone (501) 945-2121
3401 Springhill Dr
North Little Rock, AR 72117
Phone (501) 753-2424
Interoperability endpoints
- https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1117630001 | AR |
Addresses
Primary practice location
1300 Centerview Dr
Little Rock, AR 72211-4349
Mailing address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128541002 | Medicaid | AR | |
| AR20971 | Other | AR | COMMUNITY/RETAIL PHARMACY LICENSE |
Other providers in Little Rock, AR
- Arkansas Sports Performance Center
- Arkansas Surgery & Endoscopy Center
- Arkansas Telemedicine Associates, PC
- Arkansas TMJ Center LLC
- Arkansas Urogynecology and Womens Health LLC
- Arkansas Urology, PA
- Arkansas Vascular and Vein Specialists, PLLC
- Arkansas Vascular Surgery, PLLC
- Arkansas Virtual Academy
- Arkansas Wellness Associates LLC
All providers in Little Rock, AR · Urology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.