Neurosurgery Arkansas, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

E2467 Issued in AR

Legal business name

NEUROSURGERY ARKANSAS, PLLC

Practice address

9601 Baptist Health Drive
Suite 750
Little Rock, AR 72205

Phone

(501) 224-0200

Fax

(501) 224-2292

NPI assigned

Jun 16, 2006

Last updated

Aug 18, 2015By 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

Mr. Kyle McWilliams Sr., M.H.H.

Title

Clinic Manager

Phone

(501) 224-0200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Dallas M Bondhus, PA

  • Medical Physician Assistant
  • Conway, AR
  • NPI 1205826187
  NPD (past)
• Richard G. Pellegrino, M.D., PH.D

  • Neurology Physician
  • Hot Springs, AR
  • NPI 1912988627
  NPD (past)
• Crystal Rolleg, PA-C

  • Medical Physician Assistant
  • Tyler, TX
  • NPI 1932434537
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1972547099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DRIVE",
            "address_2": "SUITE 750",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-224-0200",
            "fax_number": "501-224-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DRIVE",
            "address_2": "SUITE 750",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-224-0200",
            "fax_number": "501-224-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY ARKANSAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-224-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.H.H."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155462002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7182611",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Nesterenko, D.C.
• Nicholas Edmund Nettles Sr.
• Network of Wellness, LLC
• Cynthia Anne Neuhofel
• Neurology Clinic of Central Arkansas (Sleep Clinic of Arkansas)
• Kayla Nevala
• Lauren Taylor Nevels
• Sharleis Nevels
• Madison L Neville, PHARM.D.
• New Beginings Behavioral Health

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.