Surgical Associates of Arkansas

Primary specialty

SpecialistTaxonomy code 174400000X

License

208G00000X Issued in AR

Legal business name

SURGICAL ASSOCIATES OF ARKANSAS

Practice address

9712 W Markham St
Little Rock, AR 72205-2124

Phone

(501) 280-0499

Fax

(501) 217-0222

NPI assigned

Jan 3, 2007

Last updated

Sep 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victor Bernard Williams, M.D.NPI 1023009040

Title

Physician

Phone

(501) 280-0499

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Bernard Williams, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1023009040
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea S Breedlove, FNP

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1982687471
  Medicare reassignment Care Compare group NPD
• Ralonda Greer, FNP

  • Family Nurse Practitioner
  • North Little Rock, AR
  • NPI 1861962219
  Medicare reassignment NPD
• Richard D Johns, MD

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1144214578
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1538226923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7570",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722177570",
            "telephone_number": "501-661-8207",
            "fax_number": "501-661-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052124",
            "telephone_number": "501-280-0499",
            "fax_number": "501-217-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-280-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "208G00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150105002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supply and General Equipment, Inc. (AR Sage)
• Supportive Medicine PLLC
• Supreme Hair and Beauty
• Hudson Surber, MD, MPH
• Vishnu Charan Suresh Kumar, M.D
• Surgical Clinic, PA (Surgical Clinic of Central Arkansas)
• Ajay Suri, DDS, MS
• Cooper Suriano
• Susan L Bryant PHD Behavioral Health Services
• Dianna Sutliff, MSN, APRN, FNP-C

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.