Conway Gastroenterology, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MC-1598 Issued in AR

Legal business name

CONWAY GASTROENTEROLOGY, PA

Practice address

455 Hogan LN
Conway, AR 72034-8201

Phone

(501) 513-0799

Fax

(501) 513-0798

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Kevin D Heath, MDNPI 1992702336

Title

Physician

Phone

(501) 513-0799

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin David Heath, MD

  • Gastroenterology Physician
  • Conway, AR
  • NPI 1992702336
  NPD (past) Authorized official
• Frank Martin Moix Jr., MD

  • Gastroenterology Physician
  • Conway, AR
  • NPI 1518950823
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1528065976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10780",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340013",
            "telephone_number": "501-513-0799",
            "fax_number": "501-513-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HOGAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348201",
            "telephone_number": "501-513-0799",
            "fax_number": "501-513-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-513-0799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "MC-1598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128136002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Emergency Physicians, P.a.
• Conway Emergency Physicians, P.a.
• Conway Endoscopy Center, Inc.
• Conway Eye Center
• Conway Family Medical Care PA
• Conway Group, P.L.L.C
• Conway Heart Clinic PLLC
• Conway Hematology Oncology
• Conway Hematology Oncology
• Conway Hematology Oncology PLLC

• Gastroenterology Physician in Conway, AR
• Providers in Conway, AR by specialty
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.