NPIMap

Organization Active NPI

Arkansas Health Group

Doing business as Baptist Health Orthopedic Clinic-Little Rock

  • Orthopaedic Surgery Physician
  • Little Rock, AR
National Provider Identifier
1780192179
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ARKANSAS HEALTH GROUP
Doing business as
Baptist Health Orthopedic Clinic-Little Rock
Practice address
9500 Kanis Rd Ste 210
Little Rock, AR 72205-6324
Phone
(501) 217-3533
Fax
(501) 217-3578
NPI assigned
Jan 19, 2018
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

9500 Kanis Rd Ste 210
Little Rock, AR 72205-6324

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215

Other names 1

  • Baptist Health Orthopedic Clinic-Little Rock Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180928002366 AR Part B Supplier - Clinic/Group Practice 7911802079 Receives reassigned benefits from 17 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

  • Baptist Health

    dba Baptist Health Medical Center- Arkadelphia-SNF

    • Medicare Defined Swing Bed Hospital Unit
    • Arkadelphia, AR
    • NPI 1760418354

    Member Of

    NPD member
  • Baptist Medcare, Inc

    dba Little Rock Emergency Doctors Group

    • Emergency Medicine Physician
    • Little Rock, AR
    • NPI 1699868323

    Member Of

    NPD member

Locations

9500 Kanis Rd
Ste 210
Little Rock, AR 72205
Phone (501) 217-3533

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1780192179",
    "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": "501-812-7215",
            "fax_number": "501-812-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-217-3533",
            "fax_number": "501-217-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Orthopedic Clinic-Little Rock",
            "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 Jun 21, 2021; 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.

Verify at the official NPI Registry.