Heritage Physician Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HERITAGE PHYSICIAN GROUP

Practice address

100 McGowan Court
Hot Springs, AR 71913

Phone

(501) 627-1800

Fax

(501) 627-1899

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Wanda Coleman

Title

Cbo Supervisor

Phone

(501) 627-1816

Specialties & licenses 1

Addresses

Tax ID family

Heritage Physician Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Physician Group

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
  • NPI 1245308030
  NPD tax ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1457425217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71903",
            "telephone_number": "501-627-1800",
            "fax_number": "501-627-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGOWAN COURT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-627-1800",
            "fax_number": "501-627-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CBO SUPERVISOR",
        "authorized_official_telephone_number": "501-627-1816"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marti Henson
• Shannon Henson
• Heritage of Hot Springs Health and Rehabilitation, LLC
• Heritage of Hot Springs Holdings, LLC
• Heritage Physician Group
• Heritage Physician Group
• Herman E. Hurd, DDS, III, PA
• Adela Hernandez, LMSW
• Susan L Hernandez, APRN
• Hilary J Herndon, APRN

• Durable Medical Equipment & Medical Supplies in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.