NPIMap

Organization Active NPI

Central Arkansas Gastroenterology Anesthesia Services, LLC

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1639678022
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CENTRAL ARKANSAS GASTROENTEROLOGY ANESTHESIA SERVICES, LLC
Practice address
212 Natural Resources Dr
Little Rock, AR 72205-1573
Phone
(501) 664-7200
Fax
(501) 664-7205
NPI assigned
Feb 12, 2018
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Keith Morris, MDNPI 1841281334
Title
Owner
Phone
(501) 664-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

212 Natural Resources Dr
Little Rock, AR 72205-1573

Mailing address

212 Natural Resources Dr
Little Rock, AR 72205-1573
Phone (501) 664-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190506000083 AR Part B Supplier - Clinic/Group Practice 0840532214 Receives reassigned benefits from 4 practitioners
Practice locations: Little Rock, AR; Searcy, AR

National Provider Directory

National Provider Directory

Locations

212 Natural Resources Dr
Little Rock, AR 72205
Phone (501) 664-7200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1639678022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NATURAL RESOURCES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051573",
            "telephone_number": "501-664-7200",
            "fax_number": "501-664-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NATURAL RESOURCES DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051573",
            "telephone_number": "501-664-7200",
            "fax_number": "501-664-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS GASTROENTEROLOGY ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-664-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 2018; 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.