Endoscopy Center of Little Rock,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENDOSCOPY CENTER OF LITTLE ROCK,LLC

Practice address

4200 N Rodney Parham Rd Ste 203
Little Rock, AR 72212-2460

Phone

(501) 228-4445

Fax

(501) 228-0110

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Alisa Petet-McElfresh, ADMINISTRATOR

Title

Managing Member

Phone

(501) 664-6980

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RIC LR LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Endoscopy Center of Little RockllcCCN 04C0001056

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1396727418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231705",
            "telephone_number": "501-228-4445",
            "fax_number": "501-228-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD STE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122460",
            "telephone_number": "501-228-4445",
            "fax_number": "501-228-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF LITTLE ROCK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "PETET-MCELFRESH",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "501-664-6980",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154933128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIC LR LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Drake Enderlin
• Emily Enderlin
• Endodontic Associates
• Endoscopy Center of Arkansas Anesthesia, LLC
• Endoscopy Center of Arkansas, LLC
• Engaging Arkansas Communities
• Emily Anne England, OTR/L
• Lane England, M.D.
• Tracy England, APN
• Katherine Englander

• Ambulatory Surgical Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.