Active NPI
James Arden Tanner, M.D.
- Gynecology Physician
- Little Rock, AR
National Provider Identifier
1215970785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C-5307
- Practice address
- 12921 Cantrell Rd
Suite 300
Little Rock, AR 72223-1701 - Phone
- (501) 907-6699
- Fax
- (501) 224-6481
- NPI assigned
- Jun 13, 2006
- Last updated
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C-5307 | AR | Primary |
Addresses
Primary practice location
12921 Cantrell Rd
Suite 300
Little Rock, AR 72223-1701
Mailing address
9500 Kanis Rd
Suite 200
Little Rock, AR 72205-6324
Phone (501) 224-6699
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104935001 | Medicaid | AR | |
| 160006522 | Other | AR | RAILROAD MEDICARE |
| 4203408 | Other | AR | AETNA |
| 710619986 | Other | AR | CIGNA |
| 7282 | Other | AR | UNITED HEALTHCARE |
| 114830000-01 | Other | AR | QUALCHOICE |
| 55208 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5307 | AR | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Women's Center PA | Current | Accepting new patients | |
| West Little Rock Womens Center PA | Gynecology | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9500 Kanis Rd
Ste 200
Little Rock, AR 72205
Phone (501) 224-6699
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Little Rock, AR
- NPI 1346213568
-
- Gynecology Physician
- Little Rock, AR
- NPI 1871885079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1215970785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 KANIS RD",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056324",
"telephone_number": "501-224-6699",
"fax_number": "501-224-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12921 CANTRELL RD",
"address_2": "SUITE 300",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231701",
"telephone_number": "501-907-6699",
"fax_number": "501-224-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "JAMES",
"middle_name": "ARDEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AR",
"license": "C-5307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104935001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160006522",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203408",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "710619986",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7282",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "114830000-01",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "55208",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.