University of Arkansas for Medical Sciences

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Doing business as

Kenneth Heiles Clinic AHEC

Practice address

203 S Jefferson St
Star City, AR 71667

Phone

(870) 628-5110

Fax

(870) 628-5949

NPI assigned

Jun 20, 2006

Organization subpart

Yes

Parent organization

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESAs reported in NPPES

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

Authorized official

Name

Mrs. Kathleen Wylie

Title

Office Manager

Phone

(870) 541-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth Heiles Clinic AHEC Doing business as

Part of

Karen Atkin

Practitioners 1

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

• Kenneth A Heiles, D.O.

  • Family Medicine Physician
  • Star City, AR
  • NPI 1184660698
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1336184431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-541-6008",
            "fax_number": "870-541-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S JEFFERSON ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "71667",
            "telephone_number": "870-628-5110",
            "fax_number": "870-628-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-541-6008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112297003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Heiles Clinic AHEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Starco Ops, LLC (East Point Health and Rehab)
• State of Arkansas (Lincoln County Health Unit)
• Frances P Summerford
• Candace Thomas
• Rebecca Lynne Traugott, RN,IBCLC
• Mattie Lavon Whaley
• Shaneca Whaley, MHPP
• Paul F Whipple, DO
• Amy Michelle White, N.P.
• Larry White, BA

• Family Medicine Physician in Star City, AR
• Providers in Star City, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.