Russellville Cardiology Consultants, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E5291 Issued in AR

Legal business name

RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA

Practice address

106 S Inglewood Ave
Russellville, AR 72801-3353

Phone

(479) 968-4311

Fax

(479) 968-4399

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dai Yuan Wang, MD

Title

Owner

Phone

(479) 968-4311

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dai-Yuan Wang, MD

  • Cardiovascular Disease Physician
  • Russellville, AR
  • NPI 1639186406
  NPD

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1205076387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S INGLEWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013353",
            "telephone_number": "479-968-4311",
            "fax_number": "479-968-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S INGLEWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013353",
            "telephone_number": "479-968-4311",
            "fax_number": "479-968-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DAI",
        "authorized_official_middle_name": "YUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-968-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle L Ruffiner, RPT
• Russell B Allison MD PA
• Russell B Allison Mdpa
• Graycen Russell, OT
• Kayla Russell, RECOVERY ASSISTANT
• Russellville Care Center Inc
• Russellville Dermatology Clinic PA
• Russellville Ear Nose and Throat Surgery Clinic, P.a.
• Russellville Eye Clinic, P.a.
• Russellville Family Clinic PA

• Cardiovascular Disease Physician in Russellville, AR
• Providers in Russellville, 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 Mar 13, 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.