NPIMap

Organization Active NPI

Andre J. Nolewajka, MD, PA

  • Cardiovascular Disease Physician
  • Fort Smith, AR
National Provider Identifier
1144224635
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MC-1345 Issued in AR
Legal business name
ANDRE J. NOLEWAJKA, MD, PA
Practice address
2713 S 74TH St
Ste 401
Fort Smith, AR 72903-5173
Phone
(479) 452-7324
Fax
(479) 452-6793
NPI assigned
Jun 13, 2005
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Andre J Nolewajka, MDNPI 1467456954
Title
President
Phone
(479) 452-7324

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
Cardiovascular Disease Physician 207RC0000X MC-1345 AR Primary

Addresses

Primary practice location

2713 S 74TH St
Ste 401
Fort Smith, AR 72903-5173

Mailing address

PO Box 10570
Fort Smith, AR 72917-0570
Phone (479) 452-7324

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1144224635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10570",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170570",
            "telephone_number": "479-452-7324",
            "fax_number": "479-452-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "STE 401",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035173",
            "telephone_number": "479-452-7324",
            "fax_number": "479-452-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE J. NOLEWAJKA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "NOLEWAJKA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-452-7324",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "MC-1345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 2007; 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.