Organization Active NPI

Catholic Physician'S Group L.L.C.

  • Internal Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1609085489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MC-2350 Issued in AR
Legal business name
CATHOLIC PHYSICIAN'S GROUP L.L.C.
Doing business as
Chad Nicholas Heinen
Practice address
4419 N Highway 7
Suite 201
Hot Springs, AR 71909-9301
Phone
(501) 984-5928
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chad Nicholas Heinen, MD
Title
Owner
Phone
(501) 984-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MC-2350 AR Primary

Addresses

Primary practice location

4419 N Highway 7
Suite 201
Hot Springs, AR 71909-9301

Mailing address

PO Box 8397
Hot Springs, AR 71910-8397
Phone (501) 984-5928

Other identifiers 2

IdentifierTypeStateIssuer
5F018OtherARAR BLUE CROSS & BLUE SHIE
MC-2350OtherARAR LICENSE

Other names 1

  • Chad Nicholas Heinen Doing business as

National Provider Directory

National Provider Directory

Locations

4419 N Highway 7
Ste 201
Hot Springs Village, AR 71909
Phone (501) 922-2217

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609085489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8397",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719108397",
            "telephone_number": "501-984-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 N HIGHWAY 7",
            "address_2": "SUITE 201",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099301",
            "telephone_number": "501-984-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC PHYSICIAN'S GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINEN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-984-5928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "MC-2350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS & BLUE SHIE",
            "identifier": "5F018",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LICENSE",
            "identifier": "MC-2350",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chad Nicholas Heinen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.