Active NPI
Arkansas Ostomy, Inc
- Customized Equipment (DME)
- Little Rock, AR
National Provider Identifier
1487613329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 7203
- Legal business name
- ARKANSAS OSTOMY, INC
- Practice address
- 16607 Cantrell Rd Ste 7
Little Rock, AR 72223-4247 - Phone
- (501) 225-8860
- Fax
- (501) 225-8840
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Jane English
- Title
- General Manager
- Phone
- (501) 868-7840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 7203 | AR | Primary |
Addresses
Primary practice location
16607 Cantrell Rd Ste 7
Little Rock, AR 72223-4247
Mailing address
16607 Cantrell Rd Ste 7
Little Rock, AR 72223-4247
Phone (501) 225-8860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111614716 | Medicaid | AR | |
| 48877 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075868 | AR | DME Supplier - Medical Supply Company | 9436276755 | Practice locations: Little Rock, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Arkansas Ostomy Inc | Ostomy Supplies|Urological Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
16607 Cantrell Rd
Ste 7
Little Rock, AR 72223
Phone (501) 225-8860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1487613329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16607 CANTRELL RD STE 7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234247",
"telephone_number": "501-225-8860",
"fax_number": "501-225-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16607 CANTRELL RD STE 7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234247",
"telephone_number": "501-225-8860",
"fax_number": "501-225-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS OSTOMY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "ENGLISH",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "501-868-7840"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "AR",
"license": "7203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111614716",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "48877",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Arkansas Oculoplastic Surgery, PLLC
- Arkansas Oncology Associates
- Arkansas Oncology Associates
- Arkansas Ophthalmology Associates, P.a. (Arkansas Ophthalmology Associates)
- Arkansas Osteopractic PLLC
- Arkansas Otolaryngology Center-Audiology
- Arkansas Otolaryngology Center, P.a. (Aoc Surgery Center, Inc)
- Arkansas Otolaryngology Center, P.a.
- Arkansas Pain Care Clinics, PA
- Arkansas Pain Care Clinics, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.