Organization Active NPI

Little Rock Gynecology & Obstetrics PLLC

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1124346739
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LITTLE ROCK GYNECOLOGY & OBSTETRICS PLLC
Practice address
9501 Lile Drive
Suite 770
Little Rock, AR 72205-6227
Phone
(501) 221-9700
Fax
(501) 221-3239
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Kim Golden
Title
Clinic Manager
Phone
(501) 221-9700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AR
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X AR Primary

Addresses

Primary practice location

9501 Lile Drive
Suite 770
Little Rock, AR 72205-6227

Mailing address

9501 Lile Drive
Suite 770
Little Rock, AR 72205-6227
Phone (501) 221-9700

Other identifiers 3

IdentifierTypeStateIssuer
1710008784OtherARINDIVIDUAL NPI
1952422925OtherARINDIVIDUAL NPI
184318002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1124346739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 LILE DRIVE",
            "address_2": "SUITE 770",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056227",
            "telephone_number": "501-221-9700",
            "fax_number": "501-221-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 LILE DRIVE",
            "address_2": "SUITE 770",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056227",
            "telephone_number": "501-221-9700",
            "fax_number": "501-221-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK GYNECOLOGY & OBSTETRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-221-9700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1710008784",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952422925",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184318002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.