Organization Active NPI

Sunder Krishnan, MD, PLLC

  • Interventional Pain Medicine Physician
  • Little Rock, AR
National Provider Identifier
1912903782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
E2047 Issued in AR
Legal business name
SUNDER KRISHNAN, MD, PLLC
Practice address
500 S University Ave
Ste 519
Little Rock, AR 72205-5350
Phone
(501) 975-5005
Fax
(501) 975-5008
NPI assigned
Jun 24, 2005
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
Ms. Mary Joan Aughenbaugh
Title
Office Manager
Phone
(501) 975-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X E2047 AR Primary

Addresses

Primary practice location

500 S University Ave
Ste 519
Little Rock, AR 72205-5350

Mailing address

PO Box 34113
Little Rock, AR 72203-4113
Phone (501) 975-5005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912903782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34113",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722034113",
            "telephone_number": "501-975-5005",
            "fax_number": "501-975-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 519",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055350",
            "telephone_number": "501-975-5005",
            "fax_number": "501-975-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDER KRISHNAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUGHENBAUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-975-5005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E2047",
            "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.