Maleah Paulovich

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1901 Encore Way
Bryant, AR 72019-8896

Phone

(501) 794-9021

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
• Arkansas Heart Hospital-Encore Hospital, Bryant, AR, CCN 040161

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212
  Medicare reassignment Care Compare group NPD
• Arkansas Heart Hospital Rural Health Services, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1548553811

  TX

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212

  Hospital

  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1790775229
  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  Care Compare affiliation

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1629689773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ENCORE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198896",
            "telephone_number": "501-794-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ENCORE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720198896",
            "telephone_number": "501-794-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULOVICH",
        "first_name": "MALEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Caitlin Padgett
• Parker Joiner Pediatric Aprn Services PLLC
• Alexandria Marie Parker-Shipman
• Jonathan Aaron Parker, D.P.T.
• Sandra Kay Parks
• Shelley Payne, APRN
• Fallon Peacock
• William Matthew Peckat, MD
• Lauren Penn
• Callie Ahpashionata Penner

• Physician Assistant in Bryant, AR
• Providers in Bryant, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.