Conway Neurology PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CONWAY NEUROLOGY PA

Practice address

400 Salem Rd
BLDG 3 Suite 1
Conway, AR 72034-6162

Phone

(501) 505-0400

Fax

(501) 505-0402

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David O Oberlander, MD

Title

Owner

Phone

(501) 505-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Allen Oberlander, M.D.

  • Neurology Physician
  • Conway, AR
  • NPI 1790860716
  Medicare reassignment NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811072838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11078",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340019",
            "telephone_number": "501-860-6130",
            "fax_number": "501-860-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SALEM RD",
            "address_2": "BLDG 3 SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346162",
            "telephone_number": "501-505-0400",
            "fax_number": "501-505-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "OBERLANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-505-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134556002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC SUBMITTER",
            "identifier": "E0479",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Injury Center Inc (Crown Chiropractic)
• Conway Marriage Clinic
• Conway Medcare Pharmacy, LLC (Medcare Pharmacy)
• Conway Medcare Pharmacy, LLC
• Conway Medical and Wellness Clinic, LLC
• Conway OB-GYN Clinic PA
• Conway Optometry Associates PLLC
• Conway Outpatient Surgery Center
• Conway Pain Clinic, PLLC
• Conway Physical Therapy Clinic, PA (Conway Therapy Services)

• Neurology Physician in Conway, AR
• Providers in Conway, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.