Active NPI
Nassri Pediatrics and Pulmonology, LLC
- Clinic/Center
- Fort Smith, AR
National Provider Identifier
1215489604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- R-2933
- Legal business name
- NASSRI PEDIATRICS AND PULMONOLOGY, LLC
- Practice address
- 9207 Highway 71 S
Suite 9
Fort Smith, AR 72916-9117 - Phone
- (479) 434-6140
- Fax
- (479) 434-6144
- NPI assigned
- Nov 1, 2016
- 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
- Dr. Louay K Nassri, MD
- Title
- Pediatric Pulmonologist
- Phone
- (479) 221-3732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | R-2933 | AR | Primary |
Addresses
Primary practice location
9207 Highway 71 S
Suite 9
Fort Smith, AR 72916-9117
Mailing address
PO Box 10718
Fort Smith, AR 72917-0718
Phone (479) 221-3732
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100045000A | Medicaid | OK | |
| 1881681799 | Other | AR | NPI |
| 105826001 | Medicaid | AR | |
| 53822 | Other | AR | BCBS |
| 295507911001 | Other | OK | BCBS |
Other names 1
- NP&P
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1215489604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10718",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729170718",
"telephone_number": "479-221-3732",
"fax_number": "479-649-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9207 HIGHWAY 71 S",
"address_2": "SUITE 9",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169117",
"telephone_number": "479-434-6140",
"fax_number": "479-434-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSRI PEDIATRICS AND PULMONOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "NASSRI",
"authorized_official_first_name": "LOUAY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PEDIATRIC PULMONOLOGIST",
"authorized_official_telephone_number": "479-221-3732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AR",
"license": "R-2933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100045000A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881681799",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105826001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53822",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "295507911001",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NP&P",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.