Active NPI
Carol W. Chappell, M.D.
- Ophthalmology Physician
- Little Rock, AR
National Provider Identifier
1861653776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C4804
- Legal business name
- CAROL W. CHAPPELL, M.D.
- Practice address
- 5 Saint Vincent Cir
Suite 200
Little Rock, AR 72205-5412 - Phone
- (501) 661-1123
- Fax
- (501) 661-0046
- NPI assigned
- Jun 23, 2008
- 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
- Flora Jeanne Colglazier
- Title
- Office Manager
- Phone
- (501) 661-1123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C4804 | AR | Primary |
Addresses
Primary practice location
5 Saint Vincent Cir
Suite 200
Little Rock, AR 72205-5412
Mailing address
5 Saint Vincent Cir
Suite 200
Little Rock, AR 72205-5412
Phone (501) 661-1123
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50981 | Other | AR | BLUE CROSS &BLUE SHIELD |
| 180002066 | Other | RAILROAD MEDICARE | |
| 14216000000 | Other | QUALCHOICE OF ARKANSAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080910000025 | AR | Part B Supplier - Clinic/Group Practice | 4789750001 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Little Rock, AR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Little Rock, AR
- NPI 1932448792
O20080910000025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1861653776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SAINT VINCENT CIR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055412",
"telephone_number": "501-661-1123",
"fax_number": "501-661-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SAINT VINCENT CIR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055412",
"telephone_number": "501-661-1123",
"fax_number": "501-661-0046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL W. CHAPPELL, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "COLGLAZIER",
"authorized_official_first_name": "FLORA",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-661-1123"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AR",
"license": "C4804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS &BLUE SHIELD",
"identifier": "50981",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180002066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE OF ARKANSAS",
"identifier": "14216000000",
"state": null
}
],
"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 Jun 23, 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.