NPIMap

Organization Active NPI

Arrhythmia Associates of Nea, LLC

Doing business as CoreCare Medical Group

  • Cardiovascular Disease Physician
  • Batesville, AR
National Provider Identifier
1407949555
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MC2533 Issued in AR
Legal business name
ARRHYTHMIA ASSOCIATES OF NEA, LLC
Doing business as
CoreCare Medical Group
Practice address
407 Virginia Dr
Batesville, AR 72501-7329
Phone
(870) 316-1016
Fax
(870) 292-3535
NPI assigned
Oct 2, 2006
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mrs. Connie H. Hill, RN, DNP, MBA
Title
Administrator
Phone
(870) 761-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MC2533 AR Primary

Addresses

Primary practice location

407 Virginia Dr
Batesville, AR 72501-7329

Mailing address

PO Box 609
Jonesboro, AR 72403-0609
Phone (870) 316-1016

Other identifiers 1

IdentifierTypeStateIssuer
180083001MedicaidAR

Other names 1

  • CoreCare Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000816 AR Part B Supplier - Clinic/Group Practice 9537340054 Receives reassigned benefits from 10 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1407949555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724030609",
            "telephone_number": "870-316-1016",
            "fax_number": "870-292-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017329",
            "telephone_number": "870-316-1016",
            "fax_number": "870-292-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRHYTHMIA ASSOCIATES OF NEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-761-4426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, DNP, MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "MC2533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180083001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoreCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.