Organization Active NPI

Central Arkansas Cardiology

  • Internal Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1154342467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTRAL ARKANSAS CARDIOLOGY
Practice address
4000 Richards Rd
Suite a
North Little Rock, AR 72117-2650
Phone
(501) 758-3999
Fax
(501) 758-8653
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tina Marie Etheridge
Title
Business Manager
Phone
(501) 758-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4000 Richards Rd
Suite a
North Little Rock, AR 72117-2650

Mailing address

4000 Richards Rd
Suite a
North Little Rock, AR 72117-2650
Phone (501) 758-3999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154342467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RICHARDS RD",
            "address_2": "SUITE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-758-3999",
            "fax_number": "501-758-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RICHARDS RD",
            "address_2": "SUITE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-758-3999",
            "fax_number": "501-758-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "501-758-3999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.