Organization Active NPI

Javed K Shinwari, MD,PA

  • Specialist
  • Conway, AR
National Provider Identifier
1689887960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3091 Issued in AR
Legal business name
JAVED K SHINWARI, MD,PA
Practice address
3025 Fountain Dr
Suite 100
Conway, AR 72034-3025
Phone
(501) 329-1700
Fax
(501) 329-2440
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Javed Shinwari, MD
Title
MD
Phone
(501) 329-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E3091 AR Primary

Addresses

Primary practice location

3025 Fountain Dr
Suite 100
Conway, AR 72034-3025

Mailing address

3025 Fountain Dr
Suite 100
Conway, AR 72034-3025
Phone (501) 329-1700

National Provider Directory

National Provider Directory

Locations

2200 Ada Ave
Ste 205
Conway, AR 72034
Phone (501) 268-2185

3025 Fountain Dr
Ste 100
Conway, AR 72034
Phone (501) 269-1656

415 Rodgers Dr
Searcy, AR 72143
Phone (501) 268-2185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689887960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "address_2": "SUITE 100",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343025",
            "telephone_number": "501-329-1700",
            "fax_number": "501-329-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "address_2": "SUITE 100",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343025",
            "telephone_number": "501-329-1700",
            "fax_number": "501-329-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVED K SHINWARI, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHINWARI",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "501-329-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, 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.