Central Arkansas Vein Center, PA

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CENTRAL ARKANSAS VEIN CENTER, PA

Practice address

1100 N University Ave Ste 142
Little Rock, AR 72207-6344

Phone

(501) 404-9582

Fax

(501) 404-9663

NPI assigned

Jul 8, 2013

Last updated

Jan 16, 2024By 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

Dr. Michael Wayne Enns, M.D.NPI 1972728988

Title

President

Phone

(501) 404-9582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21567/brand/1/csg/1/fhir/r4

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.

• Michael Wayne Enns, MD

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
  • NPI 1972728988
  Medicare reassignment Authorized official
• Gaylon Lyn Brunson, M.D.

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1154300648
  NPD (past)
• Rachel Neal, PA-C

  • Physician Assistant
  • Little Rock, AR
  • NPI 1811401318
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1992146856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 142",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076344",
            "telephone_number": "501-404-9582",
            "fax_number": "501-404-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 142",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076344",
            "telephone_number": "501-404-9582",
            "fax_number": "501-404-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS VEIN CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ENNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-404-9582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Arkansas Radiation Therapy Institute Inc (Carti Cancer Centers, Inc.)
• Central Arkansas Reproductive Endocrinology Group, PLLC (Arkansas Fertility and Gynecology Associates)
• Central Arkansas Surgery Center, LLC
• Central Arkansas Therapy, LLC
• Central Arkansas Vascular Associates PLLC
• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System John L. McClellan Memorial
• Central Arkansas Vetrans Healthcare Service

• Vascular & Interventional Radiology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Vascular & Interventional Radiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.