Active NPI
Advanced Wound Care & Hyperbarics, PA
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- 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, 2011
- 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
- Dr. Angela R Driskill, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179015002 | Medicaid | AR | |
| 5G169 | Other | AR | BLUE CROSS BLUE SHIELD OF ARKANSAS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- North Little Rock, AR
- NPI 1306870068
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- North Little Rock, AR
- NPI 1982688800
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.