Organization Active NPI

Girish R. Bhatt, MD, PA

  • Vascular Surgery Physician
  • El Dorado, AR
National Provider Identifier
1417980806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E4582 Issued in AR
Legal business name
GIRISH R. BHATT, MD, PA
Practice address
700 W Grove St
El Dorado, AR 71730-4416
Phone
(870) 863-0333
Fax
(870) 864-9680
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Girish R Bhatt, MD
Title
Owner
Phone
(870) 863-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X E4582 AR Primary

Addresses

Primary practice location

700 W Grove St
El Dorado, AR 71730-4416

Mailing address

PO Box 11390
El Dorado, AR 71730-0033
Phone (870) 863-0333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417980806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11390",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717300033",
            "telephone_number": "870-863-0333",
            "fax_number": "870-864-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-0333",
            "fax_number": "870-864-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRISH R. BHATT, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-863-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AR",
            "license": "E4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.