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CONWAY NEUROLOGY PA NPI 1811072838


NPI Information

NPI: 1811072838
Provider Name: CONWAY NEUROLOGY PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
400 SALEM RD
BLDG 3 SUITE 1
CONWAY, AR
ZIP 72034
Phone: (501) 505-0400
Get Directions

CONWAY NEUROLOGY PA is a neurology psychiatry neurology in Conway, AR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CONWAY NEUROLOGY PA NPI is 1811072838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 SALEM RD
BLDG 3 SUITE 1
CONWAY, AR
ZIP 72034-162
Phone: (501) 505-0400
Fax: (501) 505-0402

The provider's authorized official is David O Oberlander .
The authorized official title is Owner and has the following contact phone number (501) 505-0400.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 6/17/2008.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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
15K817MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2134556002MEDICAIDARKANSAS
3E0479OTHERARKANSASELECTRONIC SUBMITTER

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: 11/14/2023

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