ARKANSAS OTOLARYNGOLOGY CENTER, P.A.


Address: 10201 Kanis Rd, Little Rock, AR 72205-6203
Phone: 5012275050

ARKANSAS OTOLARYNGOLOGY CENTER, P.A. (NPI# 1093795031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093795031
Entity Type Organization
Organization Name ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Other Organization Name AOC SURGERY CENTER, INC
Practice Address 10201 Kanis Rd
Little Rock
AR 72205-6203
Practice Telephone 5012275050
Practice Fax Number 5012275151
Mailing Telephone 5012275050
Mailing Fax Number 5012275151
Enumeration Date 2006-01-17
Last Update Date 2015-05-22
Authorized Official Name DELAINE MARTIN (OFFICE MANAGER)
Authorized Official Telephone 5012275050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
AR3809 AR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR 111803128 05
AR RAILROAD MEDICARE 490000064 01

Other Provider/Organization Names

Other Name Type Code
AOC SURGERY CENTER, INC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164449500 Arkansas Otolaryngology Center, P.a. Otolaryngology 10201 Kanis Rd, Little Rock, AR 72205-6203 2006-07-15

Office Location

Street Address 10201 KANIS RD
City LITTLE ROCK
State AR
Zip Code 72205-6203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669452686 Jeffrey L Barber Otolaryngology 10201 Kanis Rd, Little Rock, AR 72205-6203 2006-01-17
1447804661 Jenifer Joy Loar Family Medicine 10201 Kanis Rd, Little Rock, AR 72205-6203 2019-07-25
1164950507 Sommer Ballard Audiologist 10201 Kanis Rd, Little Rock, AR 72205-6203 2017-05-30
1467991000 Brenda O'neal Speed Nurse Practitioner 10201 Kanis Rd, Little Rock, AR 72205-6203 2017-02-15
1548657646 Zachary Alexander Ward Audiologist 10201 Kanis Rd, Little Rock, AR 72205-6203 2015-04-16
1285022947 Korrine Elise Cope Audiologist 10201 Kanis Rd, Little Rock, AR 72205-6203 2015-01-05
1104264480 Chelsea K Burrows Physical Therapist 10201 Kanis Rd, Little Rock, AR 72205 2013-06-10
1447593371 Jamie Bizzell Otolaryngology 10201 Kanis Rd, Little Rock, AR 72205 2013-03-28
1164783171 Laura Vanessa Johnson Audiologist 10201 Kanis Rd, Little Rock, AR 72205-6203 2012-06-06
1053699793 Matthew Bryson Howard Audiologist 10201 Kanis Rd, Little Rock, AR 72205-6203 2011-07-29
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1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1679001028 Centerview Surgery Center, LLC Clinic/Center 1310 Centerview Dr, Little Rock, AR 72211-4349 2017-05-30
1386177376 Executive Surgery Center of Little Rock, LLC Clinic/Center 11220 Executive Center Dr, Suite 100, Little Rock, AR 72211-4320 2017-04-06
1043625221 Interventional Surgery Institute of Little Rock, LLC Clinic/Center 9 Freeway Drive, Suite A, Little Rock, AR 72204 2014-06-25
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1487776365 Seymour Operations LLC Clinic/Center 200 N Van Buren St, Little Rock, AR 72205-3650 2007-04-04
1588603351 Physician's Day Surgery Center Clinic/Center 17200 Chenal Pkwy Ste 440, Little Rock, AR 72223-5970 2006-06-06
1063470730 Endoscopy Center of Arkansas, LLC Clinic/Center 1024 N University Ave, Little Rock, AR 72207-6347 2006-05-03
1659340404 Little Rock Surgery Center, LLC Clinic/Center 8820 Knoedl Ct, Little Rock, AR 72205-4600 2006-03-15
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Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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