River Valley Sleep Associates, Inc

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

C-6606 Issued in AR

Legal business name

RIVER VALLEY SLEEP ASSOCIATES, INC

Practice address

1405 Marina Way
Russellville, AR 72802-7951

Phone

(479) 880-1884

Fax

(479) 880-1884

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Stanley Edwin Gately, M.D.NPI 1497756407

Title

President

Phone

(479) 970-9897

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley E. Gately, M.D.

  • Anesthesiology Physician
  • Russellville, AR
  • NPI 1497756407
  NPD (past) Authorized official
• Homer Kevin Beavers, MD

  • Internal Medicine Physician
  • Russellville, AR
  • NPI 1982660742
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1164644308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9035",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119035",
            "telephone_number": "479-880-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MARINA WAY",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728027951",
            "telephone_number": "479-880-1884",
            "fax_number": "479-880-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY SLEEP ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "GATELY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-970-9897",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "AR",
            "license": "C-6606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141538002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE PROVIDER #",
            "identifier": "13373000001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Valley Mobile Radiology, Inc.
• River Valley Obstetrics and Gynecology, P. a.
• River Valley Occupational Health
• River Valley Pediatric Therapy
• River Valley Psychology PLLC
• River Valley Surgery Center PLLC
• River Valley Therapy & Sports Medicine Inc
• River Valley Youth Foundation
• Sonya Roach
• Brooklyn Marie Schultes Robberson, AU.D.

• Pediatric Anesthesiology Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Pediatric Anesthesiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.