Organization Active NPI

Breast Health Clinics of Arkansas PA

  • Ambulatory Surgical Clinic/Center
  • North Little Rock, AR
National Provider Identifier
1306833678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BREAST HEALTH CLINICS OF ARKANSAS PA
Practice address
3401 Springhill Dr
Ste 470
North Little Rock, AR 72117-2924
Phone
(501) 955-9466
Fax
(501) 955-0339
NPI assigned
Oct 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerri S Fant, MDNPI 1376539288
Title
Owner
Phone
(501) 955-9466

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3401 Springhill Dr
Ste 470
North Little Rock, AR 72117-2924

Mailing address

PO Box 7386
Little Rock, AR 72217-7386
Phone (501) 993-8324

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, 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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306833678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722177386",
            "telephone_number": "501-993-8324",
            "fax_number": "501-955-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "STE 470",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172924",
            "telephone_number": "501-955-9466",
            "fax_number": "501-955-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST HEALTH CLINICS OF ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-955-9466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.