Individual provider Active NPI

Dario M Espina, M.D., F.A.C.C.

  • Specialist
  • Roland, OK
National Provider Identifier
1497756076
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E1954 Issued in AR
Practice address
205 E Ray Fine Blvd Ste 6
Roland, OK 74954-5381
Phone
(918) 503-6235
Fax
(918) 503-6239
NPI assigned
Aug 9, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E1954 AR Primary
Interventional Cardiology Physician 207RI0011X 14997 OK

Addresses

Primary practice location

205 E Ray Fine Blvd Ste 6
Roland, OK 74954-5381

Mailing address

PO Box 11768
Fort Smith, AR 72917-1768
Phone (479) 484-1010

Other practice location 1

4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7660
Phone (479) 484-1010

Other identifiers 1

IdentifierTypeStateIssuer
136409001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012000036 FL Practitioner - Family Practice 4082697115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1954ARMDSpecialist
14997OKMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Heart Center, PA Specialist CurrentSince Sep 27, 2023 Accepting new patients
Van Buren Hma, LLC Past Accepting new patients
St. Madron Medical Clinic Specialist Past Accepting new patients
Fort Smith Sleep Lab LLC Specialist Past Accepting new patients

Locations

10230 SW 86th Cir
Ocala, FL 34481
Phone (352) 861-6633

1040 SW 2nd Ave
Ocala, FL 34471
Phone (352) 732-3005

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497756076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171768",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E RAY FINE BLVD STE 6",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545381",
            "telephone_number": "918-503-6235",
            "fax_number": "918-503-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Jenny Lind Rd",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729017660",
            "country_code": "US",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "DARIO",
        "middle_name": "M",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E1954",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "14997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136409001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roland, OK

Sources for this page

Verify at the official NPI Registry.