Individual provider Active NPI

Emily Foster Eisenach

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1225373657
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002945 Issued in AR
Practice address
9601 Interstate 630
Exit 7
Little Rock, AR 72205-7202
Phone
(501) 202-2093
Fax
(501) 202-6316
NPI assigned
Dec 12, 2012
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C002945 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X R078290 AR

Addresses

Primary practice location

9601 Interstate 630
Exit 7
Little Rock, AR 72205-7202

Mailing address

11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 202-2093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422000245 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759513955 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Arkansas Sedation Associates, PLLCGroup PAC ID 4486068988, 6 clinicians
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, shared by 3 NPIs, 44 clinicians

Practice addresses (Care Compare)

1024 N University Ave
Little Rock, AR 72207-6347
Phone (501) 537-0900

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R078290ARMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Middle Arkansas Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jul 1, 2021 Accepting new patients
Gastroenterology Associates PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

800 Exchange Ave
Ste 102B
Conway, AR 72032
Phone (501) 504-6994

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

1024 N University Ave
Little Rock, AR 72207
Phone (501) 537-0900

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980

4200 N Rodney Parham Rd
Ste 203
Little Rock, AR 72212
Phone (501) 228-4445

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1225373657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-202-2093",
            "fax_number": "501-202-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630",
            "address_2": "EXIT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-2093",
            "fax_number": "501-202-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENACH",
        "first_name": "EMILY",
        "middle_name": "FOSTER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002945",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": "R078290",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.