Organization Active NPI

Nassri Pediatrics and Pulmonology, LLC

  • Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1215489604
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R-2933 Issued in AR
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

Updated by the provider on Nov 2, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100045000AMedicaidOK
1881681799OtherARNPI
105826001MedicaidAR
53822OtherARBCBS
295507911001OtherOKBCBS

Other names 1

  • NP&P Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.