Active NPI
Arkansas Health Group
- Surgery Physician
- Little Rock, AR
National Provider Identifier
1760024459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ARKANSAS HEALTH GROUP
- Practice address
- 9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389 - Phone
- (501) 227-9080
- NPI assigned
- Oct 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Will Rusher
- Title
- Ceo
- Phone
- (501) 812-7503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7800
Other names 1
- Baptist Health Surgical Clinic of Central Arkansas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122000556 | AR | Part B Supplier - Clinic/Group Practice | 7911802079 |
Receives reassigned benefits from 22 practitioners Practice locations: Little Rock, AR |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571011200000",
"number": "1760024459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7800",
"fax_number": "501-812-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 KANIS RD STE 501",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056389",
"telephone_number": "501-227-9080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-812-7503"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Surgical Clinic of Central Arkansas",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.