NPIMap

Organization Active NPI

Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
National Provider Identifier
1316497464
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITAL CARE CONSULTANTS OF FORDYCE LLC
Practice address
201 N Clifton St
Fordyce, AR 71742-3026
Phone
(870) 352-6300
NPI assigned
Oct 12, 2016
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Ron Weiss
Title
Ceo
Phone
(866) 931-8882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

201 N Clifton St
Fordyce, AR 71742-3026

Mailing address

17304 Preston Rd
Suite 1400
Dallas, TX 75252-5618
Phone (866) 931-8882

Other names 1

  • HCC of Fordyce, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161112000042 AR Part B Supplier - Clinic/Group Practice 5395024475 Receives reassigned benefits from 118 practitioners
Practice locations: Fordyce, AR

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 119

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.

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1316497464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525618",
            "telephone_number": "866-931-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423026",
            "telephone_number": "870-352-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL CARE CONSULTANTS OF FORDYCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-931-8882"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCC of Fordyce, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HCC of Fordyce, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.