Humberto J. Sosa, MD, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R4241 Issued in AR

Legal business name

HUMBERTO J. SOSA, MD, PA

Practice address

300 Crestwood Cir
Mena, AR 71953-5515

Phone

(479) 394-1600

Fax

(479) 394-1606

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Humberto J Sosa, MD

Title

President

Phone

(479) 394-1600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1194962910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1600",
            "fax_number": "479-394-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1600",
            "fax_number": "479-394-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO J. SOSA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-394-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "R4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120117001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Hockaday
• Rachael A.H. Hopper, PHD, LADAC
• Destany Mikayla Horn, COTA
• Patricia D Howard, LPC
• Abbie Lynn Hughes
• Mark Hays Hurst, DDS
• Kyle Jewell
• Manda Jewell
• Jmac Medical PLLC
• Charlenne Johnson, FNP-C

• Cardiovascular Disease Physician in Mena, AR
• Providers in Mena, AR by specialty
• Cardiovascular Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.