MEDICARE: JAMES MICHAEL VOLLERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	TP783	KY
2	207L00000X	Anesthesiology Physician	R-4266	AR
3	208000000X	Pediatrics Physician	TP783	KY
4	207L00000X	Anesthesiology Physician	TP783	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265522734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL VOLLERS MD

Provider Business Mailing Address
First Line	:	PO BOX 251418
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72225-1418
Country	:	US
Telephone Number	:	501-364-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHILDRENS WAY # 653
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-3500
Country	:	US
Telephone Number	:	501-364-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	01/12/2026

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