Active NPI
Conway Pulmonology Clinic, PA
- Pulmonary Disease Physician
- Conway, AR
National Provider Identifier
1215954086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- C8126
- Legal business name
- CONWAY PULMONOLOGY CLINIC, PA
- Practice address
- 3700 College Ave
Conway, AR 72034-7259 - Phone
- (501) 327-9532
- Fax
- (501) 327-9562
- NPI assigned
- Jul 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Hoelzeman
- Title
- Manager
- Phone
- (501) 327-9532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C8126 | AR | Primary |
Addresses
Primary practice location
3700 College Ave
Conway, AR 72034-7259
Mailing address
3700 College Ave
Conway, AR 72034-7259
Phone (501) 327-9532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pulmonary Disease Physician
- Conway, AR
- NPI 1235108697
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, TN
- NPI 1255535613
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215954086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347259",
"telephone_number": "501-327-9532",
"fax_number": "501-327-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347259",
"telephone_number": "501-327-9532",
"fax_number": "501-327-9562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONWAY PULMONOLOGY CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOELZEMAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-327-9532"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AR",
"license": "C8126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
- Conway Physical Therapy Clinic, PA (Conway Therapy Services)
- Conway Psychiatric Clinic, PLLC
- Conway Psychological Assessment Center
- Conway Public Schools
- Conway Public Schools #01
- Conway Radiology Consultants, LLC
- Conway Regional Health System
- Conway Regional Medical Center Inc (Conway Regional Mobile Health Unit)
- Conway Regional Medical Center Inc (Conway Regional NeuroScience Clinic)
- Conway Regional Medical Center Inc (Conway Regional Neonatal Department)
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.