Active NPI
Lon G. Bitzer, M.D., P.a.
- Vascular Surgery Physician
- Pine Bluff, AR
National Provider Identifier
1063741924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- R4294
- Legal business name
- LON G. BITZER, M.D., P.A.
- Practice address
- 1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961 - Phone
- (870) 534-6400
- Fax
- (870) 534-3441
- NPI assigned
- Dec 23, 2009
- Last updated
- Dec 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lon G. Bitzer, MD
- Title
- President
- Phone
- (870) 534-3923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | R4294 | AR | Primary |
Addresses
Primary practice location
1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961
Mailing address
1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961
Phone (870) 534-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119261001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1063741924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W 40TH AVE STE 4C",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036961",
"telephone_number": "870-534-6400",
"fax_number": "870-534-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W 40TH AVE STE 4C",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036961",
"telephone_number": "870-534-6400",
"fax_number": "870-534-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LON G. BITZER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "BITZER",
"authorized_official_first_name": "LON",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-534-3923",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AR",
"license": "R4294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119261001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.