SOUTH ARK EAR NOSE &THROAT CLINIC P A
SOUTH ARK EAR NOSE &THROAT CLINIC P A is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356317440, based in Pine Bluff, AR. The organization lists 5 taxonomy classifications, with Otolaryngology Physician recorded as primary.
Getting there
The practice address on file is 1722 W 42ND AVE, Pine Bluff, AR 71603. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MC1312 | AR | Otolaryngology Physician primary |
| MC1312 | AR | Allergy Physician |
| A#283 | AR | Audiologist |
| A#283 | AR | Audiologist-Hearing Aid Fitter |
| MC1312 | AR | Allergy & Immunology Physician |
This provider holds licence MC1312 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476526351
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Otolaryngology covers
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology Physician | MC1312 | AR | primary |
| 207KA0200X | Allergy Physician Allergy | MC1312 | AR | |
| 231H00000X | Audiologist | A#283 | AR | |
| 237600000X | Audiologist-Hearing Aid Fitter | A#283 | AR | |
| 207K00000X | Allergy & Immunology Physician | MC1312 | AR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1356317440 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 27, 2006 |
| Last updated | Apr 30, 2019 |
| Status | Active |
| Practice address |
1722 W 42ND AVE Pine Bluff, AR 71603 (870) 535-5719 Fax (870) 536-1963 |
| Other identifiers |
142932720
(AR) 56924 · ARKANSAS BLUE CROSS BLUE SHIELD (AR) 103005702 (AR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 5 | 6 | 3 | 1 | 7 | 4 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 6 | 1 | 5 | 4 | 8 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.