South Ark Ear Nose &throat Clinic P A, NPI 1356317440
Otolaryngology Physician in Pine Bluff, AR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1356317440 |
| NPI Entity Type | Organization |
| Provider Name | South Ark Ear Nose &throat Clinic P A |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1722 W 42nd Ave, Pine Bluff, AR, US |
| Provider Mailing Address | 1722 W 42nd Ave, Pine Bluff, AR, US, 716037008 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Stephen Donald Shorts |
| Official Position | PRESIDENT |
| Phone | 870-535-5719 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Otolaryngology Physician |
| Classification | |
| Group | |
| License No. | MC1312 |
| License State | AR |
| Description | An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| MC1312 | AR | No | |||
| A#283 | AR | No | |||
| A#283 | AR | No | |||
| MC1312 | AR | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 142932720 | AR | MEDICAID | 05 |
| 56924 | AR | ARKANSAS BLUE CROSS BLUE SHIELD | 01 |
| 103005702 | AR | MEDICAID | 05 |
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