Organization Active NPI

Moore Surgical Arts & Gynecology, PLLC

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1427419613
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MOORE SURGICAL ARTS & GYNECOLOGY, PLLC
Practice address
5018 Club Rd Ste 101
Little Rock, AR 72207-4750
Phone
(870) 995-5010
Fax
(855) 386-7000
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Pittman Moore, M.D.
Title
Physician/ Owner
Phone
(870) 995-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5018 Club Rd Ste 101
Little Rock, AR 72207-4750

Mailing address

5018 Club Rd Ste 101
Little Rock, AR 72207-4750
Phone (870) 995-5010

National Provider Directory

National Provider Directory

Locations

501 W Main St
Clarksville, AR 72830
Phone (479) 754-5010

5018 Club Rd
Ste 101
Little Rock, AR 72207
Phone (501) 891-5567

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1427419613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 CLUB RD STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074750",
            "telephone_number": "870-995-5010",
            "fax_number": "855-386-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 CLUB RD STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074750",
            "telephone_number": "870-995-5010",
            "fax_number": "855-386-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE SURGICAL ARTS & GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PITTMAN",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "870-995-5010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "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 Sep 17, 2019; 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.