Organization Active NPI

Plastic and Reconstructive Surgery Associates

  • Specialist
  • Little Rock, AR
National Provider Identifier
1295736825
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES
Practice address
11300 N Rodney Parham Rd
Suite 210
Little Rock, AR 72212-4153
Phone
(501) 663-4100
Fax
(501) 663-4145
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Sarita Madden
Title
Biller
Phone
(501) 663-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11300 N Rodney Parham Rd
Suite 210
Little Rock, AR 72212-4153

Mailing address

11300 N Rodney Parham Rd
Suite 210
Little Rock, AR 72212-4153
Phone (501) 663-4100

Other identifiers 1

IdentifierTypeStateIssuer
104999002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1295736825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 N RODNEY PARHAM RD",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124153",
            "telephone_number": "501-663-4100",
            "fax_number": "501-663-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N RODNEY PARHAM RD",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124153",
            "telephone_number": "501-663-4100",
            "fax_number": "501-663-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "501-663-4100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104999002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 13, 2010; 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.