Arkansas Epilepsy Program
Organization Active NPI Medical Specialty Clinic/Center · Little Rock, AR
NPI 1477569218 · NPPES record last updated May 23, 2008
Key facts
- NPI
- 1477569218
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- R-4085 (AR)
- Legal business name
- ARKANSAS EPILEPSY PROGRAM
- Practice address
- 2 Lile CT
S-100
Little Rock, AR 72205-6221 - Phone
- (501) 227-5061
- Fax
- (501) 227-5234
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Barbara Schwerman
- Title
- Senior Accounts Rep
- Phone
- (501) 227-0705
Subparts reporting this organization as parent 1
Practitioners 1
-
Victor Biton, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0884411 | Arkansas Epilepsy Program, P a | Certificate of waiver | Aug 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100604000128 | AR | Part B Supplier - Clinic/Group Practice | 5991834772 |
Receives reassigned benefits from 1 practitioner Practice locations: Little Rock, AR |
National Provider Directory
Locations
2 Lile Ct
Ste 100
Little Rock, AR 72205
Phone (501) 227-5061
2 Lile Ct
Little Rock, AR 72205
2 Lile Ct
#S100
Little Rock, AR 72205
Phone (501) 227-5061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | R-4085 | AR | Yes |
Addresses
Primary practice location
2 Lile CT
S-100
Little Rock, AR 72205-6221
Mailing address
2 Lile CT Ste 100
Little Rock, AR 72205-6241
Phone (501) 227-5061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070749035 | Other | AR | HEALTHLINK |
| 116520000 | Other | AR | QUAL-CHOICE |
| 125749002 | Medicaid | AR |
Other providers in Little Rock, AR
- Arkansas Easter Seals Arkansas
- Arkansas Elder Outreach of Little Rock, Inc.
- Arkansas Emergency Group PLLC
- Arkansas Endoscopy Center, P.a.
- Arkansas Enterprises for the Developmentally Disabled, Inc.
- Arkansas Eyewear, Inc.
- Arkansas Family Care Network
- Arkansas Family Care Network
- Arkansas Family Dental, PA
- Arkansas Family Doulas
All providers in Little Rock, AR · Medical Specialty Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.