Individual provider Active NPI

Edward K Gardner, MD

  • Otology & Neurotology Physician
  • Little Rock, AR
National Provider Identifier
1831179233
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
E3897 Issued in AR
Practice address
10201 Kanis Rd
Little Rock, AR 72205-6203
Phone
(501) 227-5050
Fax
(501) 227-5151
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X E3897 AR Primary

Addresses

Primary practice location

10201 Kanis Rd
Little Rock, AR 72205-6203

Mailing address

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-5050

Other identifiers 1

IdentifierTypeStateIssuer
P00169755OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001570 AR Practitioner - Otolaryngology 6901897891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Otolaryngology Center PAGroup PAC ID 9234113853, 26 clinicians

Practice addresses (Care Compare)

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 221-5050

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
93.4
Promoting interoperability
91
Improvement activities
40
Cost
72.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3897ARMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Otolaryngology Center, P.a. CurrentSince Jul 1, 2004 Accepting new patients
Arkansas Otolaryngology Center, P.a. CurrentSince Jul 1, 2004 Accepting new patients

Locations

2305 Springhill Rd
Ste 8
Bryant, AR 72019
Phone (501) 943-3214

10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050

Interoperability endpoints

  • Direct secure messaging: edward.gardner.p1@direct.araoc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1831179233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-5050",
            "fax_number": "501-227-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056203",
            "telephone_number": "501-227-5050",
            "fax_number": "501-227-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "EDWARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "AR",
            "license": "E3897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169755",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.