Active NPI
Michael T Nolen, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- E2867
- Practice address
- 7 Shackleford West Blvd
Suite 402
Little Rock, AR 72211-3714 - Phone
- (501) 492-2525
- Fax
- (501) 492-2528
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E2867 | AR | Primary |
Addresses
Primary practice location
7 Shackleford West Blvd
Suite 402
Little Rock, AR 72211-3714
Mailing address
7 Shackleford West Blvd
Suite 402
Little Rock, AR 72211-3714
Phone (501) 492-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040628000117 | AR | Practitioner - Cardiac Surgery | 0840276192 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Arkansas College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Heart Hospital LLC
Practice addresses (Care Compare)
7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Hospital & facility affiliations
- Arkansas Heart Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2867 | AR | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 2867 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Heart Hospital Rural Health Services, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Arkansas Cardiovascular Surgery Associates,P.a. | Past | Accepting new patients |
Locations
7 Shackleford West Blvd
Ste 402
Little Rock, AR 72211
Phone (501) 225-9966
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1548553811
AR
-
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
-
- Psychiatry Physician
- Fayetteville, AR
- NPI 1720217599
-
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1831144120
-
- Medical Specialty Clinic/Center
- Little Rock, AR
- NPI 1356482228
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164515318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHACKLEFORD WEST BLVD",
"address_2": "SUITE 402",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113714",
"telephone_number": "501-492-2525",
"fax_number": "501-492-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SHACKLEFORD WEST BLVD",
"address_2": "SUITE 402",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113714",
"telephone_number": "501-492-2525",
"fax_number": "501-492-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AR",
"license": "E2867",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.