Active NPI
James A. S. Haisten, M.D.
- Interventional Cardiology Physician
- Springdale, AR
National Provider Identifier
1346284528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- R2395
- Practice address
- 601 W Maple Ave
Suite 703
Springdale, AR 72764-5379 - Phone
- (479) 750-2203
- Fax
- (479) 750-1193
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | R2395 | AR | Primary |
Addresses
Primary practice location
601 W Maple Ave
Suite 703
Springdale, AR 72764-5379
Mailing address
18415 Blue Springs Rd.
Fayetteville, AR 72703
Phone (479) 443-0102
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122720000 | Other | AR | QUAL CHOICE |
| 100161990A | Medicaid | OK | |
| 202372900 | Medicaid | MO | |
| 106402001 | Medicaid | AR | |
| R2395 | Other | AR | AR STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Arkansas Heart & Vascular Center | Interventional Cardiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Cardiology Physician
- Fayetteville, AR
- NPI 1982648663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346284528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18415 BLUE SPRINGS RD.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-443-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "SUITE 703",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645379",
"telephone_number": "479-750-2203",
"fax_number": "479-750-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISTEN",
"first_name": "JAMES",
"middle_name": "A. S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "R2395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "122720000",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100161990A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202372900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106402001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR STATE LICENSE",
"identifier": "R2395",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.