Organization Active NPI

Arkansas Nephrology Services, LTD.

Doing business as South Arkansas Nephrology Associates

  • Nephrology Physician
  • El Dorado, AR
National Provider Identifier
1275508681
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ARKANSAS NEPHROLOGY SERVICES, LTD.
Doing business as
South Arkansas Nephrology Associates
Practice address
620 W Grove St
El Dorado, AR 71730-4414
Phone
(870) 862-0801
Fax
(870) 862-3687
NPI assigned
Feb 20, 2006
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Mrs. Donette Ligon
Title
Administrator
Phone
(501) 624-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

620 W Grove St
El Dorado, AR 71730-4414

Mailing address

115 Wrights St
Hot Springs, AR 71913-6240
Phone (870) 862-0801

Other identifiers 2

IdentifierTypeStateIssuer
130118002MedicaidAR
CH1485OtherARRR MEDICARE PIN

Other names 1

  • South Arkansas Nephrology Associates 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": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1275508681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "870-862-0801",
            "fax_number": "870-862-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304414",
            "telephone_number": "870-862-0801",
            "fax_number": "870-862-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEPHROLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "DONETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-624-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130118002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "CH1485",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Arkansas Nephrology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.