Active NPI
Doreen Saltiel, MD, PLLC
- Phlebology Physician
- Fort Smith, AR
National Provider Identifier
1104153394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- E5746
- Legal business name
- DOREEN SALTIEL, MD, PLLC
- Practice address
- 12112 Highway 71 South
Fort Smith, AR 72916-8405 - Phone
- (479) 434-5350
- Fax
- (479) 434-5355
- NPI assigned
- Nov 9, 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. Doreen Saltiel, MD
- Title
- Owner
- Phone
- (479) 434-5350
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | E5746 | AR | Primary |
Addresses
Primary practice location
12112 Highway 71 South
Fort Smith, AR 72916-8405
Mailing address
12112 Highway 71 South
Fort Smith, AR 72916-8405
Phone (479) 434-5350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200272460A | Medicaid | OK | |
| 181110002 | Medicaid | AR |
Other names 1
- Total Vein Care
National Provider Directory
National Provider DirectoryLocations
6400 Riley Park Dr
Fort Smith, AR 72916
Phone (479) 434-5350
12112 Highway 71 S
Fort Smith, AR 72916
Phone (479) 434-5350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Leicester, NC
- NPI 1932355963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1104153394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12112 HIGHWAY 71 SOUTH",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729168405",
"telephone_number": "479-434-5350",
"fax_number": "479-434-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12112 HIGHWAY 71 SOUTH",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729168405",
"telephone_number": "479-434-5350",
"fax_number": "479-434-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOREEN SALTIEL, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-09",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "SALTIEL",
"authorized_official_first_name": "DOREEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-434-5350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": "AR",
"license": "E5746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200272460A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181110002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Vein Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.