NPIMap

Organization Active NPI

Hot Springs Radiology Services, LTD

  • Specialist
  • Hot Springs, AR
National Provider Identifier
1003806258
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MC-0131 Issued in AR
Legal business name
HOT SPRINGS RADIOLOGY SERVICES, LTD
Practice address
3633 Central Ave
Ste D
Hot Springs, AR 71913-6404
Phone
(501) 623-6693
Fax
(501) 623-6693
NPI assigned
Oct 27, 2005
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Patrick Penor, M.D.NPI 1063402519
Title
President
Phone
(501) 623-6693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MC-0131 AR Primary

Addresses

Primary practice location

3633 Central Ave
Ste D
Hot Springs, AR 71913-6404

Mailing address

3633 Central Ave
Ste D
Hot Springs, AR 71913-6404
Phone (501) 623-6693

Other identifiers 1

IdentifierTypeStateIssuer
102342002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000369 AR Part B Supplier - Clinic/Group Practice 7719926096 Receives reassigned benefits from 20 practitioners
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

3633 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 623-6693

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1003806258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136404",
            "telephone_number": "501-623-6693",
            "fax_number": "501-623-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136404",
            "telephone_number": "501-623-6693",
            "fax_number": "501-623-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS RADIOLOGY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "PENOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-623-6693",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC-0131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102342002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.

Verify at the official NPI Registry.