Organization Active NPI

Batesville Cardiology PA

  • Specialist
  • Batesville, AR
National Provider Identifier
1770548356
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5608 Issued in AR
Legal business name
BATESVILLE CARDIOLOGY PA
Practice address
1695 Harrison St
Batesville, AR 72501
Phone
(870) 793-7519
Fax
(870) 793-8146
NPI assigned
Apr 18, 2006
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Ms. Martha Lynn Simmons
Title
Office Manager
Phone
(870) 793-7519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5608 AR Primary

Addresses

Primary practice location

1695 Harrison St
Batesville, AR 72501

Mailing address

16 Hospital Cir Ste a
Batesville, AR 72501-7343
Phone (870) 793-7519

Other identifiers 1

IdentifierTypeStateIssuer
102776002MedicaidAR

National Provider Directory

National Provider Directory

Locations

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

Practitioners & affiliated clinicians

Practitioners 4

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1770548356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL CIR STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017343",
            "telephone_number": "870-793-7519",
            "fax_number": "870-793-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-793-7519",
            "fax_number": "870-793-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATESVILLE CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-793-7519",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102776002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.