Active NPI
Alan Mease, MD
- Pediatrics Physician
- Little Rock, AR
National Provider Identifier
1649686643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12121
- Practice address
- 4815 W Markham St
Slot 16
Little Rock, AR 72205-3866 - Phone
- (501) 280-4511
- Fax
- (501) 661-2464
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12121 | SC | Primary |
Addresses
Primary practice location
4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Mailing address
4815 W Markham St
Slot 16
Little Rock, AR 72205-3866
Phone (501) 280-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12121 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Jonesboro, AR
- NPI 1063683605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1649686643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 W MARKHAM ST",
"address_2": "SLOT 16",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053866",
"telephone_number": "501-280-4511",
"fax_number": "501-661-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 W MARKHAM ST",
"address_2": "SLOT 16",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053866",
"telephone_number": "501-280-4511",
"fax_number": "501-661-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEASE",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "12121",
"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 Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.