Individual provider Active NPI

Michael T Nolen, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1164515318
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E2867 Issued in AR
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000117 AR Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Vascular Surgery 0840276192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery, Vascular 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 85 clinicians

Practice addresses (Care Compare)

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2867ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2867ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Jun 16, 2014 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 16, 2014 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 16, 2014 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 12, 2021 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.