Organization Active NPI

Arkansas GYN Oncology

  • Gynecologic Oncology Physician
  • Little Rock, AR
National Provider Identifier
1306069661
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Lawrence Curtis Bandy, M.D.NPI 1336100262
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02110034500OtherARQUALCHOICE
DA3533OtherARRR MEDICARE
5C905OtherARBCBS
150515002MedicaidAR
771041202OtherARBREAST CARE MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000411 AR Part B Supplier - Clinic/Group Practice 1951205335 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.