Interventional Radiology and Imaging Specialists, PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MC-2430 Issued in AR

Legal business name

INTERVENTIONAL RADIOLOGY AND IMAGING SPECIALISTS, PLLC

Practice address

4301 Greathouse Springs Rd., Suite # Rad Room 1064
Johnson, AR 72741

Phone

(479) 442-8346

Fax

(479) 582-4723

NPI assigned

Jun 16, 2006

Organization subpart

No

Name

Dr. Douglas Elliott, M.D.NPI 1073558318

Title

Managing Partner

Phone

(479) 442-8346

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas E. Elliott, M.D.

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
  • NPI 1073558318

  Vascular & Interventional Radiology

  NPD (past) Authorized official
• Herbert E Hamilton, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1487680559

  Vascular & Interventional Radiology

  NPD (past)

• The Vein Center of NW Arkansas Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699719799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "JOHNSON",
            "state": "AR",
            "postal_code": "727410555",
            "telephone_number": "479-442-8346",
            "fax_number": "479-582-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS RD., SUITE # RAD ROOM 1064",
            "city": "JOHNSON",
            "state": "AR",
            "postal_code": "72741",
            "telephone_number": "479-442-8346",
            "fax_number": "479-582-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL RADIOLOGY AND IMAGING SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "479-442-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "MC-2430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vein Center of NW Arkansas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie J Carpino, MD
• Donald Ray Curran, PD
• Jessica Diane Davis, NNP-BC
• David D Duke, M.D.
• Erin Tawnece Hall, CSFA
• Bridget Mary McClelland, APRN
• Jessica Jean Newcomb, APRN
• NW Physicians, LLC.
• Obhg Arkansas, PA
• Psychiatry of Texas PLLC

• All providers in Johnson, AR
• Vascular & Interventional Radiology Physician in Arkansas

• 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.