Organization Active NPI

St. George

  • Ophthalmologic Surgery Clinic/Center
  • Little Rock, AR
National Provider Identifier
1871508663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
R1676 Issued in AR
Legal business name
ST. GEORGE
Practice address
5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752
Phone
(501) 227-6980
Fax
(501) 227-8144
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherry D Robinson
Title
Supervisor
Phone
(501) 227-6980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X R1676 AR Primary

Addresses

Primary practice location

5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752

Mailing address

5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752
Phone (501) 227-6980

National Provider Directory

National Provider Directory

Locations

5800 W 10th St
Ste 205
Little Rock, AR 72204
Phone (501) 476-3914

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871508663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041752",
            "telephone_number": "501-227-6980",
            "fax_number": "501-227-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041752",
            "telephone_number": "501-227-6980",
            "fax_number": "501-227-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "501-227-6980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "AR",
            "license": "R1676",
            "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 Aug 22, 2020; 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.