Individual provider Active NPI

Edward Warren, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hot Springs, AR
National Provider Identifier
1184684946
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E0505 Issued in AR
Practice address
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone
(501) 624-0123
Fax
(501) 624-5029
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E0505 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E0505 AR Primary

Addresses

Primary practice location

1910 Malvern Ave
Hot Springs, AR 71901-7752

Mailing address

1900 Malvern Ave
Ste. 403
Hot Springs, AR 71901-7759
Phone (501) 624-0123

Other identifiers 1

IdentifierTypeStateIssuer
1121119001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001345 AR Practitioner - Cardiac Surgery 7113913310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E0505ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC Cardiovascular Disease CurrentSince Dec 1, 2003 Accepting new patients

Locations

1900 Malvern Ave
Ste 403
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 402
Hot Springs National Park, AR 71901
Phone (501) 624-0123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1184684946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "STE. 403",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-624-0123",
            "fax_number": "501-624-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "501-624-0123",
            "fax_number": "501-624-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E0505",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E0505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121119001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.