Organization Active NPI

Conway Heart Clinic PLLC

  • Cardiovascular Disease Physician
  • Conway, AR
National Provider Identifier
1285792481
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C-7132 Issued in AR
Legal business name
CONWAY HEART CLINIC PLLC
Practice address
525 Western Ave
Suite 304
Conway, AR 72034-4967
Phone
(501) 327-7555
Fax
(501) 327-9466
NPI assigned
Dec 4, 2006
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Lloyd Parker Norris
Title
Officer
Phone
(501) 327-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X C-7132 AR Primary

Addresses

Primary practice location

525 Western Ave
Suite 304
Conway, AR 72034-4967

Mailing address

525 Western Ave
Suite 304
Conway, AR 72034-4967
Phone (501) 327-7555

Other identifiers 1

IdentifierTypeStateIssuer
5G415OtherARMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1285792481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 304",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967",
            "telephone_number": "501-327-7555",
            "fax_number": "501-327-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 304",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967",
            "telephone_number": "501-327-7555",
            "fax_number": "501-327-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HEART CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "501-327-7555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C-7132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "5G415",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.