Western Arkansas Heart Lung & Vascular Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

N8359 Issued in AR

Legal business name

WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES

Practice address

2713 S 74TH St
104
Fort Smith, AR 72903-5170

Phone

(479) 478-7059

Fax

(479) 478-7061

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Karen G Beard, CPC

Title

Billing Manager

Phone

(479) 478-7059

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Robert C. Jaggers, M.D.

  • Specialist
  • Fayetteville, AR
  • NPI 1639165608
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1235194689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "SUITE 104",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-478-7059",
            "fax_number": "479-478-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "104",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-478-7059",
            "fax_number": "479-478-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-478-7059",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N8359",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "R3835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH8694",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123788001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114669001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142620002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Arkansas Counseling & Guidance Center
• Western Arkansas Counseling & Guidance Center
• Western Arkansas Counseling & Guidance Center, Inc
• Western Arkansas Counseling & Guidance Center, Inc.-31St Street Clinic
• Western Arkansas Counseling and Guidance Center, Inc.
• Western Arkansas Medical Associates
• Western Arkansas Medical LLC
• Western Arkansas Obstetric Anesthesia LLC
• Western Arkansas Plastic & Reconstructive Surgery Center
• Western Arkansas Surgical Center

• Specialist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.