Conway Urology, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

N-7212 Issued in AR

Legal business name

CONWAY UROLOGY, PA

Practice address

495 Hogan Lane
Suite 2
Conway, AR 72034

Phone

(501) 327-5850

Fax

(501) 327-4910

NPI assigned

Jul 16, 2006

Organization subpart

No

Name

Dr. David Craig Shirley, MD

Title

Owner

Phone

(501) 327-5850

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2011.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1255358263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HOGAN LANE",
            "address_2": "SUITE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-5850",
            "fax_number": "501-327-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HOGAN LANE",
            "address_2": "SUITE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-5850",
            "fax_number": "501-327-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-327-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC-1601",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "N-7212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113501-001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159254002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Regional Medical Center, Inc.
• Conway Regional Medical Center, Inc.
• Conway Regional Medical Center,Inc,
• Conway Regional Rehabilitation Hospital LLC
• Conway Regional Surgery Center
• Conway Vein and Vascular
• Conway Women'S Health Center, PA
• Conway Womens Health Center PA
• Johnny Conway, RECOVERY ASSISTANT
• Callie Conyers, RBT

• All providers in Conway, AR
• Urology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.