Organization Active NPI

Heart Associates of South Arkansas, Inc.

  • Interventional Cardiology Physician
  • El Dorado, AR
National Provider Identifier
1073688511
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E0097 Issued in 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
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Aldo V Fonticiella, MD
Title
President
Phone
(870) 866-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X E0097 AR Primary

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

National Provider Directory

National Provider Directory

Locations

619 W Grove St
El Dorado, AR 71730
Phone (870) 863-6133

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1073688511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304413",
            "telephone_number": "870-863-6133",
            "fax_number": "870-863-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304413",
            "telephone_number": "870-863-6133",
            "fax_number": "870-863-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART ASSOCIATES OF SOUTH ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "FONTICIELLA",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-866-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E0097",
            "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 Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.