Active NPI
Southeast Arkansas Oncology, PA
Doing business as Arkansas Cancer Institute of Pine Bluff
- Radiation Oncology Physician
- Pine Bluff, AR
National Provider Identifier
1558835975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- SOUTHEAST ARKANSAS ONCOLOGY, PA
- Doing business as
- Arkansas Cancer Institute of Pine Bluff
- Practice address
- 7200 S Hazel St
Pine Bluff, AR 71603-7836 - Phone
- (870) 939-6300
- NPI assigned
- Jan 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahid Hameed, MD
- Title
- Owner
- Phone
- (870) 939-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
7200 S Hazel St
Pine Bluff, AR 71603-7836
Mailing address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 939-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-1401 | Other | AR | STATE LICENSE |
Other names 1
- Arkansas Cancer Institute of Pine Bluff
National Provider Directory
National Provider DirectoryLocations
7200 S Hazel St
Ofc 2
Pine Bluff, AR 71603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547769600000",
"number": "1558835975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037836",
"telephone_number": "870-939-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037836",
"telephone_number": "870-939-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST ARKANSAS ONCOLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A",
"authorized_official_last_name": "HAMEED",
"authorized_official_first_name": "SHAHID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-939-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E-1401",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkansas Cancer Institute of Pine Bluff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pine Bluff, AR
- Southeast Arkansas Behavioral Healthcare System, Inc
- Southeast Arkansas Emergency Physicians LLP
- Southeast Arkansas Emergency Physicians LLP
- Southeast Arkansas Hospice LTD Co
- Southeast Arkansas Hospitalists, LLP
- Southeast Arkansas Physical Therapy, Inc.
- Southeast Arkansas Preparatory High School
- Southeast Arkansas Primary Care Associates
- Southern Medical Associates, PLLC
- Anja Spadoni, MHPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.