Organization Active NPI

J. Michael Carney, MD, PLLC

  • Dermatology Physician
  • Little Rock, AR
National Provider Identifier
1356537666
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N7400 Issued in AR
Legal business name
J. MICHAEL CARNEY, MD, PLLC
Practice address
11321 Interstate 30
Suite 201
Little Rock, AR 72209-7040
Phone
(501) 455-4700
Fax
(501) 455-9044
NPI assigned
Sep 20, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Elvisa Gwin
Title
Billing Administrator
Phone
(501) 455-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X N7400 AR Primary

Addresses

Primary practice location

11321 Interstate 30
Suite 201
Little Rock, AR 72209-7040

Mailing address

11321 Interstate 30
Suite 201
Little Rock, AR 72209-7040
Phone (501) 455-4700

National Provider Directory

National Provider Directory

Locations

11321 Interstate 30
Ste 201
Little Rock, AR 72209
Phone (501) 455-4700

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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1356537666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-455-4700",
            "fax_number": "501-455-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-455-4700",
            "fax_number": "501-455-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL CARNEY, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "GWIN",
        "authorized_official_first_name": "ELVISA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "501-455-4700"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AR",
            "license": "N7400",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2007; 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.