Misty Zelk, M.D., P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E1505 Issued in AR

Legal business name

MISTY ZELK, M.D., P.L.L.C.

Practice address

11908 Kanis Rd
Suite G-8
Little Rock, AR 72211-3733

Phone

(501) 225-9990

Fax

(501) 225-9998

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon A Harter

Title

Clinic Manager

Phone

(501) 225-9990

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1225257017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 KANIS RD",
            "address_2": "SUITE G-8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113733",
            "telephone_number": "501-225-9990",
            "fax_number": "501-225-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 KANIS RD",
            "address_2": "SUITE G-8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113733",
            "telephone_number": "501-225-9990",
            "fax_number": "501-225-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY ZELK, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HARTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-225-9990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E1505",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZELK NPI",
            "identifier": "1962401463",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1962401463",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1730109877",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa J Mirota, LD
• Megan Misenheimer, APRN
• Prabhat Mishra, M.D.
• Anne Miskin, PT
• Mission Properties Group, LLC
• Alexis Mitchell, RN
• Alyson Hoyt Mitchell, SLP
• Ashley Mitchell, APRN
• Bruce F Mitchell, DDS
• Caroline Reynolds Mitchell, MD

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.