Organization Active NPI

Sleep Specialist of Arkansas PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Searcy, AR
National Provider Identifier
1457591687
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
C5148 Issued in AR
Legal business name
SLEEP SPECIALIST OF ARKANSAS PLLC
Practice address
617 Marion St
Searcy, AR 72143-4845
Phone
(501) 305-9826
Fax
(501) 279-3089
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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

Authorized official

Name
Stanley L Kellar, MD
Title
Owner
Phone
(501) 305-9826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X C5148 AR Primary

Addresses

Primary practice location

617 Marion St
Searcy, AR 72143-4845

Mailing address

617 Marion St
Searcy, AR 72143-4845
Phone (501) 305-9826

National Provider Directory

National Provider Directory

Locations

617 Marion St
Searcy, AR 72143
Phone (501) 268-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1457591687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MARION ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434845",
            "telephone_number": "501-305-9826",
            "fax_number": "501-279-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MARION ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434845",
            "telephone_number": "501-305-9826",
            "fax_number": "501-279-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP SPECIALIST OF ARKANSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-305-9826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AR",
            "license": "C5148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.