Individual provider Active NPI

Pamela Jean Kiser, M.D.

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1982039848
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-0293 Issued in AR
Practice address
1021E Washington Ave
North Little Rock, AR 72114-5853
Phone
(501) 376-6694
Fax
(501) 376-6695
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-0293 AR Primary

Addresses

Primary practice location

1021E Washington Ave
North Little Rock, AR 72114-5853

Mailing address

PO Box 2179
North Little Rock, AR 72115-2179
Phone (501) 376-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203000705 AR Practitioner - Family Practice 3577867043 Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
River City Ministry of Pulaski County Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26991/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pam.kiser.1@26991.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1982039848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2179",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721152179",
            "telephone_number": "501-376-6694",
            "fax_number": "501-376-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021E WASHINGTON AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145853",
            "telephone_number": "501-376-6694",
            "fax_number": "501-376-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.