Active NPI
Longevity Associates, PLLC
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1831626753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LONGEVITY ASSOCIATES, PLLC
- Practice address
- 2300 Andover CT Ste 400
Little Rock, AR 72227-3990 - Phone
- (337) 991-9276
- NPI assigned
- May 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oumitana Kajkenova, MD
- Title
- Member
- Phone
- (337) 991-9276
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2300 Andover CT Ste 400
Little Rock, AR 72227-3990
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 991-9276
National Provider Directory
National Provider DirectoryLocations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Little Rock, AR
- NPI 1053401521
Family Medicine
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1265662969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1831626753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035334",
"telephone_number": "337-991-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ANDOVER CT STE 400",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722273990",
"telephone_number": "337-991-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGEVITY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-23",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "KAJKENOVA",
"authorized_official_first_name": "OUMITANA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "337-991-9276",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.