NPIMap

Individual provider Active NPI

Janet Susan Cantwell, MD

  • Pediatric Adolescent Medicine Physician
  • Rogers, AR
National Provider Identifier
1235196528
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
N8311 Issued in AR
Practice address
900 S 52ND St
Suite 200
Rogers, AR 72758-8637
Phone
(479) 254-1100
Fax
(479) 254-2997
NPI assigned
Apr 28, 2006
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X N8311 AR Primary

Addresses

Primary practice location

900 S 52ND St
Suite 200
Rogers, AR 72758-8637

Mailing address

900 S 52ND St
Suite 200
Rogers, AR 72758-8637
Phone (479) 254-1100

Other identifiers 1

IdentifierTypeStateIssuer
125217001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8311ARMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Childrens Northwest, Inc. Past Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients
Arkansas Children's Medical Group PLLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1036.epichosted.com/APIProxyPRD/AC/api/FHIR/R4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1235196528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 52ND ST",
            "address_2": "SUITE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588637",
            "telephone_number": "479-254-1100",
            "fax_number": "479-254-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 52ND ST",
            "address_2": "SUITE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588637",
            "telephone_number": "479-254-1100",
            "fax_number": "479-254-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "JANET",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "N8311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125217001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.