Organization Active NPI

Arkansas Urology, PA

Doing business as Arkansas Urology Igrt

  • Therapeutic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1356674238
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
MC91638 Issued in AR
Legal business name
ARKANSAS UROLOGY, PA
Doing business as
Arkansas Urology Igrt
Practice address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone
(501) 219-8900
Fax
(501) 537-1875
NPI assigned
Sep 10, 2009
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Jared Cooley
Title
Chief Financial Officer
Phone
(501) 219-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0203X MC91638 AR Primary

Addresses

Primary practice location

1300 Centerview Dr
Little Rock, AR 72211-4349

Mailing address

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

Other names 1

  • ARKANSAS UROLOGY IGRT Doing business as

National Provider Directory

National Provider Directory

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1356674238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-537-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-537-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "501-219-8900"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "AR",
            "license": "MC91638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS UROLOGY IGRT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARKANSAS UROLOGY IGRT",
            "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 Dec 6, 2021; 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.