Active NPI
Cardiovascular Associates of Northcentral Arkansas, P.a.
- Specialist
- Mountain Home, AR
National Provider Identifier
1568466845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF NORTHCENTRAL ARKANSAS, P.A.
- Practice address
- 555 W 6TH St
Mountain Home, AR 72653-3409 - Phone
- (870) 425-8288
- Fax
- (870) 425-8299
- NPI assigned
- Jun 2, 2005
- 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
- Mrs. Pamela M. Hoyt
- Title
- Office Manager
- Phone
- (870) 425-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
555 W 6TH St
Mountain Home, AR 72653-3409
Mailing address
555 W 6TH St
Mountain Home, AR 72653-3409
Phone (870) 425-8288
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187154002 | Medicaid | AR | |
| 130724002 | Medicaid | AR | |
| 5C181 | Other | AR | AR BCBS # |
| 203171418 | Other | AR | CHAMPUS/TRICARE # |
Other names 1
- CVANCA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310342400000",
"number": "1568466845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W 6TH ST",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533409",
"telephone_number": "870-425-8288",
"fax_number": "870-425-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W 6TH ST",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533409",
"telephone_number": "870-425-8288",
"fax_number": "870-425-8299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR ASSOCIATES OF NORTHCENTRAL ARKANSAS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-02",
"last_updated": "2011-07-11",
"status": "A",
"authorized_official_last_name": "HOYT",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "870-425-8288",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187154002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130724002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS #",
"identifier": "5C181",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE #",
"identifier": "203171418",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVANCA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.