NPIMap

Organization Active NPI

Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
National Provider Identifier
1982699153
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OUACHITA REGIONAL ANESTHESIA PLLC
Practice address
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone
(501) 321-1000
NPI assigned
Sep 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Donald Ivy, MDNPI 1841285012
Title
Delegated Authorized Official
Phone
(800) 235-1415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AR Primary

Addresses

Primary practice location

1910 Malvern Ave
Hot Springs, AR 71901-7752

Mailing address

PO Box 22390
Hot Springs, AR 71903-2390
Phone (800) 235-1415

Other identifiers 3

IdentifierTypeStateIssuer
149392002MedicaidAR
5C752OtherARAR BCBS PROVIDER NUMBER
CK6327OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000399 AR Part B Supplier - Clinic/Group Practice 4183619216 Receives reassigned benefits from 33 practitioners
Practice locations: Bryant, AR; Hot Springs, AR; Little Rock, AR; N Little Rock, AR; Searcy, AR

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982699153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "501-321-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA REGIONAL ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DELEGATED AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-235-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149392002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS PROVIDER NUMBER",
            "identifier": "5C752",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK6327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.