Proscan Imaging of Arkansas, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PROSCAN IMAGING OF ARKANSAS, LLC

Practice address

9101 Kanis Rd
Little Rock, AR 72205-6417

Phone

(501) 224-7226

Fax

(501) 225-1459

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Alonzo D Williams Sr., M D

Title

Owner

Phone

(501) 227-7688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Proscan Imaging Arkansas Doing business as

Locations

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1891786935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056417",
            "telephone_number": "501-227-7688",
            "fax_number": "501-228-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056417",
            "telephone_number": "501-224-7226",
            "fax_number": "501-225-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN IMAGING OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-227-7688",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00233253",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscan Imaging Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Little Rock, AR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.