Carlton H. Burge, P.a

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0608P Issued in AR

Legal business name

CARLTON H. BURGE, P.A

Practice address

1 Innwood Cir
Little Rock, AR 72211-2447

Phone

(501) 224-6888

Fax

(501) 224-6889

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Carlton H Burge

Title

Owner

Phone

(501) 224-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1730327461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INNWOOD CIR",
            "address_2": "STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112447",
            "telephone_number": "501-224-6888",
            "fax_number": "501-224-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INNWOOD CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112447",
            "telephone_number": "501-224-6888",
            "fax_number": "501-224-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON H. BURGE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-224-6888"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AR",
            "license": "0608P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160432719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott W.F. Carle, M.D.
• Christopher Charles Carlin, CRNA
• Cameron Ray Carlisle, MS, CCC-SLP
• Matthew David Carlisle, D.D.S., M.S.
• Charlotte A Carlson, LPC
• Courtney Leigh Carmack, D.C.
• Debra Carman
• Fatimaah Salaam Carmichael
• Taylor Carmichael, APRN
• Jessica Elizabeth Carnathan, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.