Provider Demographics
NPI:1609887124
Name:ORSINI, ALEX N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:N
Last Name:ORSINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 LILE DR
Mailing Address - Street 2:STE 600
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6225
Mailing Address - Country:US
Mailing Address - Phone:501-227-7596
Mailing Address - Fax:501-227-7787
Practice Address - Street 1:9501 LILE DR STE 600
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6231
Practice Address - Country:US
Practice Address - Phone:501-227-7596
Practice Address - Fax:501-978-1919
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3240207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARCC6745OtherRAILROAD MEDICARE
AR5M151OtherBLUE CROSS BLUE SHIELD
AR146872001Medicaid
AR89Y281OtherMALP INS
ARCN1884OtherRAILROAD MEDICARE
AR146872001Medicaid
AR5M151Medicare PIN