Healthcare Provider Details

I. General information

NPI: 1033090907
Provider Name (Legal Business Name): GASTRO PATHOLOGY SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5328 NORTHSHORE CV STE 101
NORTH LITTLE ROCK AR
72118-5332
US

IV. Provider business mailing address

5328 NORTHSHORE CV STE 101
NORTH LITTLE ROCK AR
72118-5332
US

V. Phone/Fax

Practice location:
  • Phone: 501-225-1400
  • Fax: 501-225-1401
Mailing address:
  • Phone: 501-225-1400
  • Fax: 501-225-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROSALYN KEANI ENOS
Title or Position: DOCTOR
Credential: MD
Phone: 501-225-1400