Heart Associates of South Arkansas, Inc.
Organization Active NPI Interventional Cardiology Physician · El Dorado, AR
NPI 1073688511 · NPPES record last updated Apr 10, 2018
Key facts
- NPI
- 1073688511
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- E0097 (AR)
- Legal business name
- HEART ASSOCIATES OF SOUTH ARKANSAS, INC.
- Practice address
- 619 W Grove St
El Dorado, AR 71730-4413 - Phone
- (870) 863-6133
- Fax
- (870) 863-6290
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Aldo V Fonticiella, MD
- Title
- President
- Phone
- (870) 866-9450
Practitioners 2
National Provider Directory
Locations
619 W Grove St
El Dorado, AR 71730
Phone (870) 863-6133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | E0097 | AR | Yes |
Addresses
Primary practice location
619 W Grove St
El Dorado, AR 71730-4413
Mailing address
619 W Grove St
El Dorado, AR 71730-4413
Phone (870) 863-6133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C008 | Other | AR | BCBS |
| 125598001 | Medicaid | AR |
Other providers in El Dorado, AR
- Georgia Barnette Hay
- Sheila Ann Hayes
- HCC of El Dorado LLC
- Healthware Respiratory Services, Inc.
- Tiffany Hearnsberger
- Morgan Hegi
- Alyssa Helms
- Whitney Henderson
- Helen A Henry
- Lizbeth Laura Herrera
All providers in El Dorado, AR · Interventional Cardiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.