Healthcare Provider Details

I. General information

NPI: 1649625674
Provider Name (Legal Business Name): ANESTHESIA MANAGEMENT SOLUTIONS OF ARKANSAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 INTERSTATE 55
MARION AR
72364-2327
US

IV. Provider business mailing address

PO BOX 919516
ORLANDO FL
32891-9516
US

V. Phone/Fax

Practice location:
  • Phone: 941-360-1566
  • Fax: 941-358-9818
Mailing address:
  • Phone: 941-360-1566
  • Fax: 941-358-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateAR

VIII. Authorized Official

Name: DAVID W SIMPSON
Title or Position: MD/PRESIDENT
Credential:
Phone: 941-360-1566