Active NPI
Barry F Uretsky, MD
- Cardiovascular Disease Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E5214
- Practice address
- 4301 Marham Avenue
S-304 Shorey Building
Little Rock, AR 72205 - Phone
- (501) 603-1267
- Fax
- (501) 257-5796
- NPI assigned
- Dec 14, 2006
- Last updated
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | K1155 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | E5214 | AR | Primary |
Addresses
Primary practice location
4301 Marham Avenue
S-304 Shorey Building
Little Rock, AR 72205
Mailing address
4301 W Markham St
S-304 Shorey Building
Little Rock, AR 72205-7101
Phone (501) 688-9417
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118811201 | Medicaid | TX | |
| 164042001 | Medicaid | AR | |
| 200103240A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5214 | AR | MD | Cardiovascular Disease Physician |
| K1155 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Fort Smith Hma, LLC | Past | Accepting new patients | |
| Sparks Regional Medical Center | Past | Accepting new patients |
Locations
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#S304
Little Rock, AR 72205
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba Sparks Regional Medical Center
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1578555736
-
- Skilled Nursing Facility
- Fort Smith, AR
- NPI 1992916308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1316009731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"address_2": "S-304 SHOREY BUILDING",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-688-9417",
"fax_number": "501-257-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MARHAM AVENUE",
"address_2": "S-304 SHOREY BUILDING",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72205",
"telephone_number": "501-603-1267",
"fax_number": "501-257-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URETSKY",
"first_name": "BARRY",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K1155",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E5214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118811201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164042001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200103240A",
"state": "OK"
}
],
"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 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.