Active NPI
Homer L. Fleisher III, M.D. PA
- Surgery Physician
- Conway, AR
National Provider Identifier
1174852032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- N6929
- Legal business name
- HOMER L. FLEISHER III, M.D. PA
- Practice address
- 525 Western Ave
Suite 203
Conway, AR 72034-4967 - Phone
- (501) 327-4828
- Fax
- (501) 327-6899
- NPI assigned
- Dec 23, 2009
- 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
- Sherry J Rooney
- Title
- Office Manager
- Phone
- (501) 327-4828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N6929 | AR | Primary |
Addresses
Primary practice location
525 Western Ave
Suite 203
Conway, AR 72034-4967
Mailing address
525 Western Ave
Suite 203
Conway, AR 72034-4967
Phone (501) 327-4828
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1174852032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 WESTERN AVE",
"address_2": "SUITE 203",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344967",
"telephone_number": "501-327-4828",
"fax_number": "501-327-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 WESTERN AVE",
"address_2": "SUITE 203",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344967",
"telephone_number": "501-327-4828",
"fax_number": "501-327-6899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMER L. FLEISHER III, M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "ROONEY",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-327-4828"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AR",
"license": "N6929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.