University of Arkansas for Medical Sciences
Organization Active NPI Internal Medicine Physician · Little Rock, AR
NPI 1669534749 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1669534749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- Practice address
- 4110 Outpatient Circle
Little Rock, AR 72205 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
- Name
- Amanda D George
- Title
- Vice Chancellor-Chief Financial Off
- Phone
- (501) 686-5670
Other NPIs on the same Medicare enrollment 22
Corporate family (same tax ID) 24
Practitioners 70
-
Cara E Cadzow, APRN
-
Stephen James Canon, M.D.
-
Michael Kenneth Clardy, DNP, AGACNP
-
Chandra Shekhar Dasari, M.D.
-
Joel R Dickens, MD
-
Joshua Daniel Dilley, M.D.
-
Simona Dobos, PA-C
-
Constance Leeann Farris, APRN
-
Erica Leigh Gaddie, RD, LD
-
Karla Y Gentry, LPC
-
Pamela E Giardina, LCSW
-
Amanda Leigh Gwin, PA-C
-
Erika Shawana Jackson, APRN
-
Farrah A Jennings, PA-C
-
Kyle E. Johnson, M.D.
-
Navin R Kilambi, MD
-
Lauren Kincannon, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2286101 | University of Arkansas Medical Sciences | Certificate of waiver | Jul 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000706 | AR | Part B Supplier - Clinic/Group Practice | 4082528955 |
Receives reassigned benefits from 2,092 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Little Rock, AR; Maumelle, AR; North Little Rock, AR; Springdale, AR; Alexander, AR; Bentonville, AR; Cabot, AR; Conway, AR… |
National Provider Directory
- Tax ID family
- Karen Atkin
- Part of
- Karen Atkin
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4110 Outpatient Circle
Little Rock, AR 72205
Mailing address
PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127187081 | Medicaid | AR |
Other names
- UAMS Internal Medicine Group PCP
Other providers in Little Rock, AR
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
All providers in Little Rock, AR · Internal Medicine 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 Aug 8, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.