Canzoneri MFM, PLLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

E-7297 Issued in AR

Legal business name

CANZONERI MFM, PLLC

Doing business as

Maternal-Fetal Medicine Center of Northwest Arkansas

Practice address

5501 Willow Creek Dr
Suite 202
Springdale, AR 72762-8704

Phone

(479) 443-4500

Fax

(479) 443-4502

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bernard J Canzoneri, M.D.

Title

M.D./ Owner

Phone

(479) 443-4500

Specialties & licenses 1

Addresses

Other names 1

• Maternal-Fetal Medicine Center of Northwest Arkansas Doing business as

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1376816850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 202",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-443-4500",
            "fax_number": "479-443-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 202",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-443-4500",
            "fax_number": "479-443-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANZONERI MFM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "CANZONERI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D./ OWNER",
        "authorized_official_telephone_number": "479-443-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AR",
            "license": "E-7297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal-Fetal Medicine Center of Northwest Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey O'Connor Camp
• Cristina Canales
• Haley S Cannon
• Jennifer Renea Cannon, MHPP
• Kellie Cantu, RN
• Carson Anthony Capo
• Cara Wright MD PA
• Zoila Rosa Cardenas, MHPP
• Adrian J Carder, MD
• Mary Kelly Cardillo, LMSW

• Maternal & Fetal Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Maternal & Fetal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.