Individual provider Active NPI

Angela E Eichhorn, PA-C

  • Medical Physician Assistant
  • Cabot, AR
National Provider Identifier
1780295048
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1123 Issued in AR
Practice address
2037 W Main St
Cabot, AR 72023-7479
Phone
(501) 843-4555
NPI assigned
Aug 11, 2020
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT2022-075 AR
Medical Physician Assistant 363AM0700X PA-1123 AR Primary

Addresses

Primary practice location

2037 W Main St
Cabot, AR 72023-7479

Mailing address

2037 W Main St
Cabot, AR 72023-7479
Phone (501) 843-4555

Other names 1

  • Angela Strange Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221201000326 AR Practitioner - Physician Assistant 2264800960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2037 W Main St
Cabot, AR 72023-7479

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1123ARMDMedical Physician Assistant
PT2022-075ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Central Primary Care, PLLC CurrentSince Oct 5, 2022 Accepting new patients
Physicians Network Inc Dba Cabot Medical Clinic Past Accepting new patients
Physicians Network Inc. Past Accepting new patients

Locations

2037 W Main St
Cabot, AR 72023
Phone (501) 843-4555

1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1780295048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHHORN",
        "first_name": "ANGELA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT2022-075",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STRANGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.