Active NPI
Arkansas Health Group
- Colon & Rectal Surgery Physician
- Little Rock, AR
National Provider Identifier
1336462332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- R-2284
- Legal business name
- ARKANSAS HEALTH GROUP
- Practice address
- 500 S University Ave Ste 321
Little Rock, AR 72205-5305 - Phone
- (501) 664-1272
- NPI assigned
- Mar 4, 2010
- 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
- Will L Rusher
- Title
- Cfo
- Phone
- (501) 812-7587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | R-2284 | AR | Primary |
Addresses
Primary practice location
500 S University Ave Ste 321
Little Rock, AR 72205-5305
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7216
Other names 1
- Baptist Health - Colorectal Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100504000229 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment Practice locations: Little Rock, AR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Primary Care Clinic/Center
- North Little Rock, AR
- NPI 1710225545
O20100504000229
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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": "1267660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267660800000",
"number": "1336462332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-812-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE STE 321",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055305",
"telephone_number": "501-664-1272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "501-812-7587"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "AR",
"license": "R-2284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health - Colorectal Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 4, 2010; 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.