Active NPI
Arkansas GYN Oncology
- Gynecologic Oncology Physician
- Little Rock, AR
National Provider Identifier
1306069661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- ARKANSAS GYN ONCOLOGY
- Practice address
- 9601 Lile Dr
Suite 850
Little Rock, AR 72205-6321 - Phone
- (501) 221-3088
- Fax
- (501) 221-0072
- NPI assigned
- Apr 11, 2007
- Last updated
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Curtis Bandy, M.D.
- Title
- Doctor
- Phone
- (501) 221-3088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | NU | Primary |
Addresses
Primary practice location
9601 Lile Dr
Suite 850
Little Rock, AR 72205-6321
Mailing address
9601 Lile Dr
Suite 850
Little Rock, AR 72205-6321
Phone (501) 221-3088
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02110034500 | Other | AR | QUALCHOICE |
| DA3533 | Other | AR | RR MEDICARE |
| 5C905 | Other | AR | BCBS |
| 150515002 | Medicaid | AR | |
| 771041202 | Other | AR | BREAST CARE MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9601 Baptist Health Dr
Ste 850
Little Rock, AR 72205
Phone (501) 221-3088
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecologic Oncology Physician
- Little Rock, AR
- NPI 1336100262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1306069661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 LILE DR",
"address_2": "SUITE 850",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-221-3088",
"fax_number": "501-221-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 LILE DR",
"address_2": "SUITE 850",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-221-3088",
"fax_number": "501-221-0072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS GYN ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "BANDY",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "501-221-3088",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "02110034500",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA3533",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5C905",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150515002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BREAST CARE MEDICAID",
"identifier": "771041202",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Arkansas Family Dental, PA
- Arkansas Family Doulas
- Arkansas Family Medicine PA
- Arkansas Foot Clinic, PA
- Arkansas Genomics, LLC
- Arkansas Health and Nutrition
- Arkansas Health Group (Baptist Health TeleMedicine)
- Arkansas Health Group (Baptist Health Neurology Outpatient Clinic)
- Arkansas Health Group (Baptist Health After Hours Express Clinic)
- Arkansas Health Group (Baptist Health Neonatology Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.