Active NPI
HCC of El Dorado LLC
- Hospitalist Physician
- El Dorado, AR
National Provider Identifier
1003578725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- HCC OF EL DORADO LLC
- Practice address
- 700 W Grove St
El Dorado, AR 71730-4416 - Phone
- (870) 863-2000
- NPI assigned
- Oct 11, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ron Weiss
- Title
- Ceo
- Phone
- (866) 931-8882
Practitioners 86
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211101000418 | AR | Part B Supplier - Clinic/Group Practice | 1850789488 |
Receives reassigned benefits from 86 practitioners Practice locations: Camden, AR; El Dorado, AR |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 W Grove St
El Dorado, AR 71730-4416
Mailing address
17304 Preston Rd Ste 1400
Dallas, TX 75252-5633
Phone (866) 931-8882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2021.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1003578725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17304 PRESTON RD STE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525633",
"telephone_number": "866-931-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W GROVE ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304416",
"telephone_number": "870-863-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCC OF EL DORADO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-931-8882"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.