ARKANSAS UROLOGY, P.A.
NPI 1417829839
Urology in El Dorado, AR

Active since September 23, 2025CLIA 04D1079834 · Microscopy
619 N NEWTON AVE, EL DORADO, AR 71730(501) 219-8900 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arkansas Urology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARKANSAS UROLOGY, P.A. (NPI 1417829839) is a healthcare organization registered as an urology in El Dorado, Arkansas and active in the NPI registry since September 2025. The organization holds a CLIA Microscopy certificate valid through February 6, 2028 and lists Jeffrey B Marotte, Md, as its authorized official.

NPPES Registry Identity

NPI1417829839
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameARKANSAS UROLOGY, P.A.
Location Address619 N NEWTON AVEEl Dorado, AR 71730-4583
Mailing Address1300 Centerview DrLittle Rock, AR 72211-4349
Organization SubpartNo
Authorized OfficialJeffrey B MarotteMd · (501) 327-5850
Enumeration DateSeptember 23, 2025
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1417829839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
619 N NEWTON AVE, El Dorado, AR 71730

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D1079834

Arkansas Urology-El Dorado · El Dorado, AR
Active · expires Feb 6, 2028
CLIA Number04D1079834
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorCaleb Bozeman
Laboratory Phone(870) 862-5439
Laboratory LocationArkansas Urology-El Dorado619 North Newton, El Dorado, AR 71730
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Legal Medicine
619 N NEWTON AVE
EL DORADO, AR 71730

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 Arkansas Urology, P.A.'s NPI number?

The NPI number for Arkansas Urology, P.A. is 1417829839. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Arkansas Urology, P.A. located?

Arkansas Urology, P.A. is located at 619 N Newton Ave, El Dorado, AR 71730. The listed phone number is (501) 219-8900.

What is Arkansas Urology, P.A.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Arkansas Urology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1079834) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arkansas Urology, P.A. was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.