NPIMap

Organization Active NPI

Advanced Monitoring Services LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Springdale, AR
National Provider Identifier
1093854473
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
ADVANCED MONITORING SERVICES LLC
Practice address
3497 Wagon Wheel Rd
Springdale, AR 72762-0115
Phone
(877) 295-2554
Fax
(479) 445-6091
NPI assigned
Feb 5, 2007
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Mr. Edward Bradley Vinson, CNIMNPI 1508388695
Title
Ceo
Phone
(877) 295-2554

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

3497 Wagon Wheel Rd
Springdale, AR 72762-0115

Mailing address

PO Box 845
Lowell, AR 72745-0845
Phone (877) 295-2554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000042 AR Part B Supplier - Clinic/Group Practice 6305908161 Receives reassigned benefits from 4 practitioners
Practice locations: Rogers, AR; Springdale, AR; Forth Smith, AR; Fort Smith, AR; Fayetteville, AR; Bentonville, AR

National Provider Directory

National Provider Directory

Locations

1672 E Joyce Blvd
Fayetteville, AR 72703
Phone (479) 444-8735

1001 Towson Ave
#Forth
Fort Smith, AR 72901
Phone (479) 441-4000

3721 S Champions Dr
Ste 100
Rogers, AR 72758
Phone (479) 336-5150

2710 Rife Medical Ln
Chicago, IL 60677

811 W 34th St
Joplin, MO 64804
Phone (417) 622-4262

1004 E Bryan Ave
Sapulpa, OK 74066
Phone (918) 224-4280

3501 S Soncy Rd
Amarillo, TX 79119
Phone (806) 350-5437

18601 FM 1431
Ste 104
Jonestown, TX 78645
Phone (512) 300-3409

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1093854473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450845",
            "telephone_number": "877-295-2554",
            "fax_number": "479-445-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 WAGON WHEEL RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620115",
            "telephone_number": "877-295-2554",
            "fax_number": "479-445-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MONITORING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-295-2554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.