Arkansas Anesthesia Associates, PLLC.
Organization Active NPI Anesthesiology Physician · Benton, AR
NPI 1497023360 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1497023360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ARKANSAS ANESTHESIA ASSOCIATES, PLLC.
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 771-4693
- Fax
- (501) 771-4885
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Benjamin Mathews, M.D.
- Title
- Manager/Owner
- Phone
- (501) 771-4693
Practitioners 180
-
Virginia Baltz, CRNA
-
Ben L Beck, CRNA
-
Jon R Connelley, MD
-
Joshua Daniel Dilley, M.D.
-
David Dixon, CRNA
-
Vernon L Eagan, MD
-
Jordan Frey Eldridge, CRNA
-
Dennis Epperson Jr., CRNA
-
Maroun Farah, CRNA
-
Taylor Fuller, C.R.N.A.
-
William R Garner, CRNA
-
Jena Gray, CRNA
-
Cindy E Hall, CRNA
-
Daniel Earl Headrick, M.D.
-
Mark A Hill, CRNA
-
Lacey Hlass, CRNA
-
Holly Jeanette Jacek, CRNA
-
Dennis William Jacks, CRNA
-
William R King, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120119000835 | AR | Part B Supplier - Clinic/Group Practice | 6406023142 |
Receives reassigned benefits from 176 practitioners Practice locations: Little Rock, AR; Benton, AR |
National Provider Directory
Locations
10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151
761 Beard Dr
Mountain Home, AR 72653
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | AR | Yes |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
PO Box 1131
Searey, AR 72145-1131
Phone (501) 771-4693
Other providers in Benton, AR
- Arcare
- Archer-Knight Health & Wellness PLLC
- Cody Archer
- Jessica Renee Archer
- Aries Learning & Therapy LLC
- Arkansas Elder Solutions
- Arkansas Emergency Doctors,PLC
- Arkansas Healing Space, PLLC
- Arkansas Health Center
- Arkansas Health Group
All providers in Benton, AR · Anesthesiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.