Id of Central Arkansas, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ID OF CENTRAL ARKANSAS, PLLC

Doing business as

Infectious Diseases Arkansas

Practice address

3500 Springhill Dr Ste 200B
North Little Rock, AR 72117

Phone

(501) 503-3000

Fax

(501) 503-0466

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Amanda J Novack, MD

Title

President

Phone

(501) 503-3000

Specialties & licenses 1

Addresses

Other names 2

• Infectious Diseases Arkansas Doing business as
• ID Arkansas Other name

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1861972481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 200B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172948",
            "telephone_number": "501-503-3000",
            "fax_number": "501-503-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 200B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-503-3000",
            "fax_number": "501-503-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID OF CENTRAL ARKANSAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-503-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Diseases Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ID Arkansas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Infectious Disease Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.