PULASKI SURGERY CLINIC PA NPI 1790756328

NPI Information

  • NPI: 1790756328
  • Provider Name: PULASKI SURGERY CLINIC PA
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 3401 SPRINGHILL DR
    SUITE 400
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Phone: (501) 945-4422

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NPI Details

PULASKI SURGERY CLINIC PA is a surgery in North Little Rock, AR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PULASKI SURGERY CLINIC PA NPI is 1790756328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3401 SPRINGHILL DR
SUITE 400
NORTH LITTLE ROCK, AR
ZIP 72117-924
Phone: (501) 945-4422
Fax: (501) 945-4424

The provider's authorized official is John Michael Stair .
The authorized official title is President and has the following contact phone number (501) 945-4422.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 8/13/2013.

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
1208600000XSurgery0000000878ARKANSASYes

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
1111089102MEDICAIDARKANSAS
257210MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 11/21/2025

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