RIVER VALLEY SLEEP ASSOCIATES INC NPI 1164644308

NPI Information

  • NPI: 1164644308
  • Provider Name: RIVER VALLEY SLEEP ASSOCIATES, INC
  • Classification: Anesthesiology - 207LP3000X
  • Specialization: Pediatric Anesthesiology
  • Entity Type: Organization
  • Address: 1405 MARINA WAY
    RUSSELLVILLE, AR
    ZIP 72802
  • Phone: (479) 880-1884

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NPI Details

RIVER VALLEY SLEEP ASSOCIATES, INC is a pediatric anesthesiology in Russellville, AR. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. RIVER VALLEY SLEEP ASSOCIATES, INC NPI is 1164644308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 MARINA WAY
RUSSELLVILLE, AR
ZIP 72802-951
Phone: (479) 880-1884
Fax: (479) 880-1884

The provider's authorized official is Stanley Edwin Gately .
The authorized official title is President and has the following contact phone number (479) 970-9897.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 9/13/2010.

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
1207LP3000XAnesthesiologyPediatric AnesthesiologyC-6606ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141538002MEDICAIDARKANSAS
213373000001OTHERARKANSASQUALCHOICE PROVIDER #
35C378MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE GROUP ID #
4D04470MEDICARE UPINARKANSAS

What is NPI?

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This page was last updated on: 11/21/2025

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