Medical Emergency Trauma Associates, PLLC
Organization Active NPI Emergency Medicine Physician · Little Rock, AR
NPI 1790730588 · NPPES record last updated Mar 11, 2009
Key facts
- NPI
- 1790730588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MEDICAL EMERGENCY TRAUMA ASSOCIATES, PLLC
- Practice address
- Two Saint Vincent Circle
Little Rock, AR 72205-5449 - Phone
- (501) 552-3000
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- George R Hutchinson, MD
- Title
- President
- Phone
- (501) 944-7417
Practitioners 6
-
William A Daniel III, M.D.
-
Zsolt F Sandor, MD
-
Erin Elizabeth Baas Pace, M.D.
-
John Edward Hughes, D.O.
National Provider Directory
Locations
12911 Cantrell Rd
Ste 7135
Little Rock, AR 72223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
Two Saint Vincent Circle
Little Rock, AR 72205-5449
Mailing address
12911 Cantrell Rd.
Suite 7-135
Little Rock, AR 72223
Phone (501) 944-7417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121325002 | Medicaid | AR | |
| 5B190 | Other | AR | BCBS |
NPI Registry JSON
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236729600000",
"number": "1790730588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 CANTRELL RD.",
"address_2": "SUITE 7-135",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72223",
"telephone_number": "501-944-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO SAINT VINCENT CIRCLE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055449",
"telephone_number": "501-552-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EMERGENCY TRAUMA ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2009-03-11",
"status": "A",
"authorized_official_last_name": "HUTCHINSON",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-944-7417",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121325002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5B190",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
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All providers in Little Rock, AR · Emergency Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.