Organization Active NPI

Cardiac & Vascular Institute, PLLC

  • Nuclear Medicine Technology Radiologic Technologist
  • Pine Bluff, AR
National Provider Identifier
1265678114
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
Legal business name
CARDIAC & VASCULAR INSTITUTE, PLLC
Practice address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone
(870) 534-2900
Fax
(870) 534-5323
NPI assigned
Dec 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Shabbir Dharamsey, MD
Title
President
Phone
(870) 534-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471N0900X Primary

Addresses

Primary practice location

7200 S Hazel St
Pine Bluff, AR 71603-7836

Mailing address

7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 534-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820000226 AR Part B Supplier - Clinic/Group Practice 6002074697 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Bluff, AR

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3010 E Woodson Lateral Rd
Hensley, AR 72065

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1265678114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VASCULAR INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "DHARAMSEY",
        "authorized_official_first_name": "SHABBIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-534-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.

Verify at the official NPI Registry.