Individual provider Active NPI

James W Slezak, MD

  • Surgery Physician
  • Little Rock, AR
National Provider Identifier
1275586570
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C-5841 Issued in AR
Practice address
4300 W 7TH St
Little Rock, AR 72205-5446
Phone
(501) 257-3528
Fax
(501) 257-2513
NPI assigned
May 18, 2006
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C-5841 AR Primary

Addresses

Primary practice location

4300 W 7TH St
Little Rock, AR 72205-5446

Mailing address

1105 West Chestnut Street
Rogers, AR 72756-3529
Phone (479) 878-2550

Other practice location 1

1105 West Chestnut Street
Rogers, AR 72756-3529
Phone (479) 878-2550

Other identifiers 1

IdentifierTypeStateIssuer
110942001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000909 AR Practitioner - Emergency MedicinePractitioner - General Surgery 3870541063 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine CurrentSince Apr 15, 2011 Accepting new patients
Mercy Hospital Ozark CurrentSince Jun 1, 2018 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Mercy Hospital Paris CurrentSince Jun 1, 2018 Accepting new patients
Mercy Hospital Paris CurrentSince Jun 1, 2018 Accepting new patients
Mercy Hospital Ozark CurrentSince Jun 1, 2018 Accepting new patients
Mercy Hospital Paris CurrentSince Jun 1, 2018 Accepting new patients
Bentonville Radiology Consultants, PLLC Past Accepting new patients
QHG of Springdale, Inc. Past Accepting new patients
QHG of Springdale Inc Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1275586570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WEST CHESTNUT STREET",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563529",
            "telephone_number": "479-878-2550",
            "fax_number": "479-878-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-3528",
            "fax_number": "501-257-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 West Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727563529",
            "country_code": "US",
            "telephone_number": "479-878-2550",
            "fax_number": "479-878-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C-5841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110942001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.