Provider Demographics
NPI:1861456576
Name:ANESTHESIA CONSULTING SPECIALIST
Entity Type:Organization
Organization Name:ANESTHESIA CONSULTING SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:501-771-4693
Mailing Address - Street 1:PO BOX 13894
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-0894
Mailing Address - Country:US
Mailing Address - Phone:501-771-4693
Mailing Address - Fax:501-771-4885
Practice Address - Street 1:9101 KANIS RD STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6453
Practice Address - Country:US
Practice Address - Phone:501-771-4370
Practice Address - Fax:771-329-9722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F287OtherBLUE CROSS BLUE SHIELD
ARP00274252OtherRAILROAD MEDICARE
AR159152002Medicaid
AR59865F287Medicare PIN
AR159152002Medicaid