Organization Active NPI

Advanced Wound Care & Hyperbarics, PA

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • North Little Rock, AR
National Provider Identifier
1891926796
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
ADVANCED WOUND CARE & HYPERBARICS, PA
Practice address
3333 Springhill Dr
Suite 2002
North Little Rock, AR 72117-2922
Phone
(501) 202-3638
Fax
(501) 202-3639
NPI assigned
Jul 27, 2009
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Angela R Driskill, M.D.NPI 1306870068
Title
President/Secretary/Treasurer
Phone
(501) 202-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X NU Primary

Addresses

Primary practice location

3333 Springhill Dr
Suite 2002
North Little Rock, AR 72117-2922

Mailing address

PO Box 15453
Little Rock, AR 72231-5453
Phone (501) 202-3638

Other identifiers 2

IdentifierTypeStateIssuer
179015002MedicaidAR
5G169OtherARBLUE CROSS BLUE SHIELD OF ARKANSAS

National Provider Directory

National Provider Directory

Locations

3333 Springhill Dr
Ste 2002
North Little Rock, AR 72117
Phone (501) 202-3638

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1891926796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15453",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315453",
            "telephone_number": "501-202-3638",
            "fax_number": "501-202-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SPRINGHILL DR",
            "address_2": "SUITE 2002",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172922",
            "telephone_number": "501-202-3638",
            "fax_number": "501-202-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE & HYPERBARICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "501-202-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179015002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARKANSAS",
            "identifier": "5G169",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.