SOUTH ARK EAR NOSE &THROAT CLINIC P A
NPI 1356317440
Otolaryngology in Pine Bluff, AR
About South Ark Ear Nose &throat Clinic P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH ARK EAR NOSE &THROAT CLINIC P A (NPI 1356317440) is a healthcare organization registered as an otolaryngology in Pine Bluff, Arkansas and active in the NPI registry since February 2006. The organization lists Stephen Donald Shorts, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Ark Ear Nose &throat Clinic P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Ark Ear Nose & throat Clinic P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Ark Ear Nose &throat Clinic P A's NPI number?
The NPI number for South Ark Ear Nose &throat Clinic P A is 1356317440. It was assigned to this organization in the NPPES registry on February 27, 2006.
Where is South Ark Ear Nose &throat Clinic P A located?
South Ark Ear Nose &throat Clinic P A is located at 1722 W 42nd Ave, Pine Bluff, AR 71603. The listed phone number is (870) 535-5719.
What is South Ark Ear Nose &throat Clinic P A's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is South Ark Ear Nose &throat Clinic P A enrolled in Medicare?
Yes. South Ark Ear Nose &throat Clinic P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Ark Ear Nose &throat Clinic P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to South Ark Ear Nose &throat Clinic P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Ark Ear Nose &throat Clinic P A accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list South Ark Ear Nose &throat Clinic P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Ark Ear Nose &throat Clinic P A was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Ark Ear Nose &throat Clinic P A · NPI 1356317440
Otolaryngology organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1356317440 (Entity type: Organization)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Shorts, PRESIDENT
## Practice location
- **Address:** 1722 W 42ND AVE, Pine Bluff, AR 71603-7008
- **Phone:** (870) 535-5719 · **Fax:** (870) 536-1963
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Otolaryngology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2019
- **Other identifiers:** Medicaid 142932720 (AR); Medicaid 103005702 (AR); Other 56924 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1356317440) · Data from the CMS NPPES public registry.