NPIMap

Organization Active NPI

Ncsa PLLC

Doing business as Arkansas Headache , Sleep & Pain Clinics

  • Clinical Neurophysiology Physician
  • Sherwood, AR
National Provider Identifier
1992279905
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NCSA PLLC
Doing business as
Arkansas Headache , Sleep & Pain Clinics
Practice address
100 Shadow Oaks Dr
Sherwood, AR 72120-6046
Phone
(501) 274-1225
NPI assigned
Jan 14, 2019
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Ghulam Mohammed Khaleel, MD
Title
Owner
Phone
(501) 274-1225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU
Clinical Neurophysiology Physician 2084N0600X NU Primary

Addresses

Primary practice location

100 Shadow Oaks Dr
Sherwood, AR 72120-6046

Mailing address

100 Shadow Oaks Dr
Sherwood, AR 72120-6046
Phone (501) 274-1225

Other names 1

  • Arkansas Headache , Sleep & Pain Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

2401 Crestwood Rd
Ste 101
North Little Rock, AR 72116

105 Frankie Ln
White Hall, AR 71602
Phone (870) 247-2088

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1992279905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHADOW OAKS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206046",
            "telephone_number": "501-274-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHADOW OAKS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206046",
            "telephone_number": "501-274-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "KHALEEL",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-274-1225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Headache , Sleep & Pain Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.