South Arkansas Heart & Vascular Associates, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MC0373 Issued in AR

Legal business name

SOUTH ARKANSAS HEART & VASCULAR ASSOCIATES, P.A.

Practice address

4201 S Mulberry St
Pine Bluff, AR 71603-7016

Phone

(870) 536-3015

Fax

(870) 536-1691

NPI assigned

Jun 23, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Deneke, R.N.

Title

Office Manager

Phone

(870) 536-3015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Ayman Alshami, MD

  • Specialist
  • Pine Bluff, AR
  • NPI 1295799443
  NPD (past)
• David F Jurkovich, MD

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
  • NPI 1255342333
  NPD (past)
• George Madera, MD

  • Cardiovascular Disease Physician
  • Van Nuys, CA
  • NPI 1811904873
  NPD (past)
• Reynaldo F Mulingtapang, M.D.

  • Interventional Cardiology Physician
  • Tampa, FL
  • NPI 1033114509
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1295761419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2440",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132440",
            "telephone_number": "870-536-3015",
            "fax_number": "870-536-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037016",
            "telephone_number": "870-536-3015",
            "fax_number": "870-536-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS HEART & VASCULAR ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DENEKE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-536-3015",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "MC0373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3547",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Ark Ear Nose &Throat Clinic P a
• South Arkansas Cardiology, P.L.L.C.
• South Arkansas Clinic for Women
• South Arkansas Endocrinology
• South Arkansas Gastroenterology Clinic
• South Arkansas Hematology & Oncology Clinic PA
• South Arkansas Nephrology and Hypertension Clinic
• South Arkansas Orthopaedic Center
• South Arkansas Pathology, PLLC
• South Arkansas Surgical Associates

• Specialist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.