Organization Active NPI

Nes Arkansas, Inc.

  • Emergency Medicine Physician
  • Van Buren, AR
National Provider Identifier
1497736508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES ARKANSAS, INC.
Practice address
East Main & South 20TH Street
Van Buren, AR 72956
Phone
(479) 474-3401
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vincent Morra
Title
President/Ceo
Phone
(800) 377-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

East Main & South 20TH Street
Van Buren, AR 72956

Mailing address

PO Box 403234
Atlanta, GA 30384-3234
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
5C809OtherARGROUP BCBS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Nes Arkansas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497736508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403234",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843234",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST MAIN & SOUTH 20TH STREET",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72956",
            "telephone_number": "479-474-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "800-377-8721"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "5C809",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.