NPIMap

Organization Active NPI

Harris and Theodore Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Malvern, AR
National Provider Identifier
1184975955
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C02838 Issued in AR
Legal business name
HARRIS AND THEODORE ANESTHESIA SERVICES, LLC
Practice address
1001 Schneider Dr
Malvern, AR 72104-4811
Phone
(501) 332-7357
NPI assigned
Sep 19, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Billy Heath Harris, CRNANPI 1922326131
Title
Ceo/Crna
Phone
(501) 701-0781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X C02838 AR Primary

Addresses

Primary practice location

1001 Schneider Dr
Malvern, AR 72104-4811

Mailing address

PO Box 20468
Hot Springs, AR 71903-0468
Phone (501) 701-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000224 AR Part B Supplier - Clinic/Group Practice 9234374554 Receives reassigned benefits from 13 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

13501 Chenal Pkwy
Ste 102
Little Rock, AR 72211
Phone (501) 451-7843

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1184975955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20468",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719030468",
            "telephone_number": "501-701-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SCHNEIDER DR",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044811",
            "telephone_number": "501-332-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS AND THEODORE ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "CEO/CRNA",
        "authorized_official_telephone_number": "501-701-0781",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.