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MISTY ZELK M.D. P.L.L.C. NPI 1225257017


NPI Information

NPI: 1225257017
Provider Name: MISTY ZELK, M.D., P.L.L.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11908 KANIS RD
SUITE G-8
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 225-9990
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MISTY ZELK, M.D., P.L.L.C. is a specialist in Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISTY ZELK, M.D., P.L.L.C. NPI is 1225257017. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11908 KANIS RD
SUITE G-8
LITTLE ROCK, AR
ZIP 72211-733
Phone: (501) 225-9990
Fax: (501) 225-9998

The provider's authorized official is Shannon A Harter .
The authorized official title is Clinic Manager and has the following contact phone number (501) 225-9990.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerA01721ARKANSASNo
2174400000XSpecialistE1505ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11962401463OTHERARKANSASZELK NPI
21962401463OTHERARKANSASINDIVIDUAL NPI NUMBER
35F810MEDICARE PINARKANSAS
41730109877OTHERARKANSASINDIVIDUAL NPI NUMBER
5Q01560MEDICARE UPINARKANSAS
65L527MEDICARE PINARKANSAS
7H19740MEDICARE UPINARKANSAS
85A413MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.