North Pulaski Urology PL

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

C4551 Issued in AR

Legal business name

NORTH PULASKI UROLOGY PL

Practice address

2215 Wildwood Ave
North Little Rock, AR 72120-5089

Phone

(501) 912-9292

Fax

(501) 552-7593

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samir Sulieman, MD

Title

Owner

Phone

(501) 912-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750585758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-912-9292",
            "fax_number": "501-552-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-912-9292",
            "fax_number": "501-552-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PULASKI UROLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULIEMAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-912-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "C4551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Urology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.