Organization Active NPI

Lawrence C. Ault,III, M.D. PA

Doing business as Arkansas Pain Medicine

  • Specialist
  • North Little Rock, AR
National Provider Identifier
1255530143
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N-7862 Issued in AR
Legal business name
LAWRENCE C. AULT,III, M.D. PA
Doing business as
Arkansas Pain Medicine
Practice address
2400 Crestwood Rd
Suite 101
North Little Rock, AR 72116-7067
Phone
(501) 791-3450
Fax
(501) 791-6855
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mrs. Karen Lynn Ault, R.N.
Title
Administrator
Phone
(501) 791-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X N-7862 AR Primary

Addresses

Primary practice location

2400 Crestwood Rd
Suite 101
North Little Rock, AR 72116-7067

Mailing address

2400 Crestwood Rd
Suite 101
North Little Rock, AR 72116-7067
Phone (501) 791-3450

Other identifiers 1

IdentifierTypeStateIssuer
134051002MedicaidAR

Other names 1

  • Arkansas Pain Medicine 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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1255530143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD",
            "address_2": "SUITE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167067",
            "telephone_number": "501-791-3450",
            "fax_number": "501-791-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD",
            "address_2": "SUITE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167067",
            "telephone_number": "501-791-3450",
            "fax_number": "501-791-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C. AULT,III, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "AULT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-791-3450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N-7862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134051002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.