Individual provider Active NPI

Nancy Wood Zuerlein, M.D.

  • Allergy & Immunology Physician
  • Little Rock, AR
National Provider Identifier
1689763575
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
C-8496 Issued in AR
Practice address
5 Executive Center CT
Little Rock, AR 72211-4375
Phone
(501) 227-5210
Fax
(855) 656-7325
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X C-8496 AR Primary

Addresses

Primary practice location

5 Executive Center CT
Little Rock, AR 72211-4375

Mailing address

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other practice location 1

400 Salem Rd Ste 4
Conway, AR 72034-7534
Phone (501) 329-0237

Other identifiers 1

IdentifierTypeStateIssuer
124501001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000530 AR Practitioner - Allergy/Immunology 0547261026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-8496ARMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Allergy & Asthma Clinic, P.a. Allergy & Immunology PastSince Aug 10, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1689763575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114375",
            "telephone_number": "501-227-5210",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Salem Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347534",
            "country_code": "US",
            "telephone_number": "501-329-0237",
            "fax_number": "855-656-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUERLEIN",
        "first_name": "NANCY",
        "middle_name": "WOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "C-8496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124501001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.