Central Arkansas Vascular & Dialysis Access Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL ARKANSAS VASCULAR & DIALYSIS ACCESS CENTER, LLC

Practice address

11771 Maumelle Blvd
North Little Rock, AR 72113-6558

Phone

(501) 204-0302

Fax

(501) 753-4111

NPI assigned

Feb 24, 2023

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Lohmeyer

Title

Chief Financial Officier

Phone

(847) 949-3855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Central Arkansas Vascular and Dialysis Access Center LLCCCN 04C0001117

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Shaker Samih Qaqish, MD

  • Nephrology Physician
  • North Little Rock, AR
  • NPI 1184914723
  Medicare reassignment NPD

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1952000309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKWAY NORTH BLVD STE 200S",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152534",
            "telephone_number": "847-949-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-204-0302",
            "fax_number": "501-753-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS VASCULAR & DIALYSIS ACCESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "LOHMEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "847-949-3855"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Arkansas Cardiology
• Central Arkansas Chiropractic North Little Rock PLLC
• Central Arkansas Chiropractic North Little Rock,PLLC
• Central Arkansas Disability Services (Cads)
• Central Arkansas Sports Medicine
• Central Arkansas Veterans Health Care System
• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System
• Chad Matone Dental Services,P.L.L.C. (North Hills Family Dental)
• Carrie Lynn Chambers, COTA

• Ambulatory Surgical Clinic/Center in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.