Organization Active NPI

Twin City Urology Associates, P.a.

  • Urology Physician
  • North Little Rock, AR
National Provider Identifier
1346265584
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R4005 Issued in AR
Legal business name
TWIN CITY UROLOGY ASSOCIATES, P.A.
Practice address
3343 Springhill Dr
Suite 3010
North Little Rock, AR 72117-2929
Phone
(501) 758-5600
Fax
(501) 758-9454
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Samuel Thomas Houston, M.D.
Title
President/Urologist
Phone
(501) 758-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X R4005 AR Primary

Addresses

Primary practice location

3343 Springhill Dr
Suite 3010
North Little Rock, AR 72117-2929

Mailing address

11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7201

Other identifiers 2

IdentifierTypeStateIssuer
5769411OtherARAETNA
127058002MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1346265584",
    "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": "501-812-7201",
            "fax_number": "501-812-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DR",
            "address_2": "SUITE 3010",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172929",
            "telephone_number": "501-758-5600",
            "fax_number": "501-758-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY UROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/UROLOGIST",
        "authorized_official_telephone_number": "501-758-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "R4005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5769411",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127058002",
            "state": "AR"
        }
    ],
    "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 May 21, 2008; 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.