Organization Active NPI

Arkansas Ostomy, Inc

  • Customized Equipment (DME)
  • Little Rock, AR
National Provider Identifier
1487613329
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
7203 Issued in AR
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

Updated by the provider on Jun 24, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
111614716MedicaidAR
48877OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075868 AR DME Supplier - Medical Supply Company 9436276755 Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Arkansas Ostomy Inc16607 Cantrell Rd, Little Rock, AR 72223-4827(501) 868-7840 Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.