Phillip R Alston, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · North Little Rock, AR
NPI 1295732170 · NPPES record last updated Aug 11, 2010
Key facts
- NPI
- 1295732170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- C5643 (AR)
- Practice address
- 3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117-2930 - Phone
- (501) 758-9251
- Fax
- (501) 758-0308
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100916000438 | AR | Practitioner - Obstetrics/Gynecology | 9537284377 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5643 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Obstetrics & Gynecology | Current |
Accepting new patients |
| Stephen R Marks MD PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Health Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Jon N. Chang PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
3201 Springhill Dr
Ste 130
North Little Rock, AR 72117
Phone (501) 955-2741
3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117
Phone (501) 758-9251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C5643 | AR | Yes |
Addresses
Primary practice location
3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117-2930
Mailing address
3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117-2930
Phone (501) 758-9251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105215001 | Medicaid | AR | |
| 160002855 | Other | AR | RAILROAD MEDICARE |
Other providers in North Little Rock, AR
- Letoyia Allison
- Amie Kristen Almond
- Alptp, PLLC
- Alptp, PLLC
- Stephanie Alsbrook
- Sehar Altaf
- Elizabeth Altamirano
- Celeste Nicole Alvarado
- Always Promoting Independence Homecare, LLC
- Always Promoting Independence Homecare, LLC
All providers in North Little Rock, AR · Obstetrics & Gynecology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.