Active NPI
Little Rock Cancer Clinic, P.a.
- Hematology & Oncology Physician
- Little Rock, AR
National Provider Identifier
1902832330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- LITTLE ROCK CANCER CLINIC, P.A.
- Practice address
- 500 S University Ave
Suite 811
Little Rock, AR 72205-5302 - Phone
- (501) 661-1822
- Fax
- (501) 666-0266
- NPI assigned
- Jun 25, 2006
- 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
- Luis Reyes
- Title
- Office Manager
- Phone
- (501) 661-1822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
500 S University Ave
Suite 811
Little Rock, AR 72205-5302
Mailing address
500 S University Ave Ste 606
Little Rock, AR 72205-5308
Phone (501) 661-1822
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5239121 | Other | AETNA | |
| 130483002 | Medicaid | AR | |
| 472130 | Other | HEALTHLINK PPO | |
| 1902832330 | Other | MERCY HEALTH PLANS | |
| 04D0922485 | Other | C.L.I.A. NUMBER FOR LAB |
National Provider Directory
National Provider DirectoryLocations
500 S University Ave
Ste 811
Little Rock, AR 72205
Phone (501) 661-1822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Little Rock, AR
- NPI 1568441368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578873600000",
"number": "1902832330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE STE 606",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055308",
"telephone_number": "501-661-1822",
"fax_number": "501-666-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE",
"address_2": "SUITE 811",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055302",
"telephone_number": "501-661-1822",
"fax_number": "501-666-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ROCK CANCER CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-661-1822"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5239121",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130483002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "472130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLANS",
"identifier": "1902832330",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C.L.I.A. NUMBER FOR LAB",
"identifier": "04D0922485",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Michelle Liszewski, QBHP
- Little Rock Air Force Base Eye Care
- Little Rock Allergy & Asthma Clinic PA
- Little Rock Ambulance Authority
- Little Rock Audiology Clinic, Inc.
- Little Rock Cardiology Clinic, PA
- Little Rock Cardiology Clinic, PLC
- Little Rock Children'S Clinic, P.a.
- Little Rock Chiropractic Clinic, P.a.
- Little Rock Community Mental Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.