Healthcare Provider Details

I. General information

NPI: 1336571850
Provider Name (Legal Business Name): THE CONES ORGANIZATION PLLC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE SUITE 318
LITTLE ROCK AR
72205-5302
US

IV. Provider business mailing address

500 S UNIVERSITY AVE SUITE 318
LITTLE ROCK AR
72205-5302
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-9000
  • Fax: 501-663-9001
Mailing address:
  • Phone: 501-663-9000
  • Fax: 501-663-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberA003598
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE5860
License Number StateAR

VIII. Authorized Official

Name: DR. SHAWN CONES
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 501-888-1969