Organization Active NPI

Healthfair Plus PA

  • Diagnostic Radiology Physician
  • Bentonville, AR
National Provider Identifier
1689007189
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HEALTHFAIR PLUS PA
Practice address
608 SW 8TH St
6TH Floor
Bentonville, AR 72712-6207
Phone
(407) 672-0919
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Ray Ekbatani
Title
Chief Administrative Officer
Phone
(407) 620-7232

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

608 SW 8TH St
6TH Floor
Bentonville, AR 72712-6207

Mailing address

1030 Spring Villas PT Ste 3000
Winter Springs, FL 32708-6621
Phone (407) 672-0919

National Provider Directory

National Provider Directory

Locations

608 SW 8th St
Fl 6
Bentonville, AR 72712

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1689007189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT STE 3000",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086621",
            "telephone_number": "407-672-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SW 8TH ST",
            "address_2": "6TH FLOOR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126207",
            "telephone_number": "407-672-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFAIR PLUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "EKBATANI",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "407-620-7232"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.