Active NPI
Michael G Sangster, MD
- Dermatology Physician
- North Little Rock, AR
National Provider Identifier
1417940255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C8303
- Practice address
- 2524 Crestwood Rd
Suite 3
North Little Rock, AR 72116-7623 - Phone
- (501) 791-7546
- Fax
- (501) 753-1992
- NPI assigned
- Aug 26, 2005
- Last updated
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | C8303 | AR | Primary |
Addresses
Primary practice location
2524 Crestwood Rd
Suite 3
North Little Rock, AR 72116-7623
Mailing address
2524 Crestwood Rd
Suite 3
North Little Rock, AR 72116-7623
Phone (501) 791-7546
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5594317 | Other | AR | AETNA |
| 132088002 | Medicaid | AR | |
| 070009090 | Other | AR | RR MC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8303 | AR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Dermatology PLLC | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Little Rock, AR
- NPI 1013930320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1417940255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"address_2": "SUITE 3",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-791-7546",
"fax_number": "501-753-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"address_2": "SUITE 3",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-791-7546",
"fax_number": "501-753-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGSTER",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AR",
"license": "C8303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5594317",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132088002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "070009090",
"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 Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.