Christie B Phelan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C7733 Issued in AR

Practice address

500 South University Ave
Ste 101
Little Rock, AR 72205-5314

Phone

(501) 664-3914

Fax

(501) 664-5246

NPI assigned

Oct 10, 2005

Last updated

Dec 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiation Oncology Associates PA

  • Radiation Oncology Physician
  • Little Rock, AR
  • NPI 1831186014
  NPD (past)
• Alliance Radiology, PA

  • Diagnostic Radiology Physician
  • Shawnee Mission, KS
  • NPI 1467400663
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1821086307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SOUTH UNIVERSITY AVE",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH UNIVERSITY AVE",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "CHRISTIE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "C7733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143969001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacq Inc (Market Place Pharmacy of Little Rock)
• Pharmacy Compounding Ventures (Custom Compounding Center of Arkansas)
• Pharmacy of Otter Creek
• Joshua Heath Pharris, MS
• Phelan Orthodontics, PA (Phelan Orthodontics)
• David A Phelan, MD
• James T Phelan, DDS
• Natalie Elise Phelan, MD
• Patrick S Phelan, MD
• Richard Thomas Phelan, DDS, MS

• Diagnostic Radiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Diagnostic Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.