MGH SURGICALIST PLLC NPI 1063050573

NPI Information

  • NPI: 1063050573
  • Provider Name: MGH SURGICALIST PLLC
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Organization
  • Address: 5 SAINT VINCENT CIR
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (813) 530-5043

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NPI Details

MGH SURGICALIST PLLC is a trauma surgery surgery in Little Rock, AR. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. MGH SURGICALIST PLLC NPI is 1063050573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 SAINT VINCENT CIR
LITTLE ROCK, AR
ZIP 72205-412
Phone: (813) 530-5043

The provider's authorized official is Mit Desai .
The authorized official title is Ceo and has the following contact phone number (813) 530-5043.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 12/16/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0127XSurgeryTrauma SurgeryYes

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: 3/30/2025

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