Arkansas Health Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ARKANSAS HEALTH GROUP

Doing business as

Arkansas Vascular

Practice address

9601 Lile Dr Ste 250
Medical Towers 1
Little Rock, AR 72205-6355

Phone

(501) 227-4787

NPI assigned

Nov 30, 2006

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tommy Johnson

Title

Pma

Phone

(501) 812-7514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arkansas Vascular Doing business as

Practitioners 2

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.

• Timothy A Diller, M.D.

  • Surgery Physician
  • Jacksonville, AR
  • NPI 1205899481

  Vascular Surgery

  NPD (past)
• Edward C. Loebl, MD

  • Vascular Surgery Physician
  • Little Rock, AR
  • NPI 1760498554
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1346317476",
    "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": "501-812-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR STE 250",
            "address_2": "MEDICAL TOWERS 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056355",
            "telephone_number": "501-227-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "PMA",
        "authorized_official_telephone_number": "501-812-7514"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159837002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arkansas Health Group (Baptist Health Cardiothoracic Surgery Clinic)
• Arkansas Health Group (All for Kids Pediatric Clinic/A Baptist Health Affiliate)
• Arkansas Health Group (Baptist Health Family Clinic - Hillcrest)
• Arkansas Health Group (Baptist Health Supportive Medicine)
• Arkansas Health Group (Baptist Health - Colorectal Surgery)
• Arkansas Health Group (Baptist Health Neurosurgery Arkansas)
• Arkansas Health Group (Baptist Health Supportive Medicine)
• Arkansas Health Group (Baptist Health UAMS Ear, Nose and Throat Clinic)
• Arkansas Health Group (Arkansas Health Group Anesthesia)
• Arkansas Health Group (Baptist Health Interventional Radiology Clinic)

• Vascular Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Vascular Surgery Physician in Arkansas

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