Active NPI
Little Rock Gynecology & Obstetrics PLLC
- Obstetrics & Gynecology Physician
- Little Rock, AR
National Provider Identifier
1124346739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Specialist | 174400000X | AR | ||
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710008784 | Other | AR | INDIVIDUAL NPI |
| 1952422925 | Other | AR | INDIVIDUAL NPI |
| 184318002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Little Rock, AR
- NPI 1447232517
-
- Obstetrics & Gynecology Physician
- Little Rock, AR
- NPI 1952422925
-
- Gynecology Physician
- Little Rock, AR
- NPI 1083696256
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
- Little Rock Family Eyecare
- Little Rock Family Planning Services PLLC
- Little Rock Fertility Center
- Little Rock Foot Clinic, PA
- Little Rock Group Health, LLC
- Little Rock HC&R Nursing LLC (West Markham Sub Acute & Rehabilitation Center)
- Little Rock Healthcare and Rehab
- Little Rock Hematology Oncology
- Little Rock Hematology Oncology
- Little Rock Hma Inc (Southwest Medical Group)
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.