Michael McConnaughhay, ATC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

1932191822 Issued in AR

Practice address

10301 Kanis Rd
Little Rock, AR 72205-6205

Phone

(501) 604-6900

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1144617465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 AUTUMNWOOD DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154848",
            "telephone_number": "501-707-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAUGHHAY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AR",
            "license": "1932191822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Patrick McClure, M.D.
• Carol McCluskey, SLP
• Edgar Bornman McColgan, PH.D.
• Neesa J McCollum Flaxman, M.D.
• Tyreesha McCollum
• Lindsey C McConnell
• Zachary McConnell
• Mary Kathryn McCool, AGACNP-BC
• Megan McCorkindale, PHARMD
• Karen McCorkle, LPN

• Sports Medicine (Orthopaedic Surgery) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.