Active NPI
Hope Medical Park Hospital
- Certified Registered Nurse Anesthetist
- Hope, AR
National Provider Identifier
1780970111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- HOPE MEDICAL PARK HOSPITAL
- Doing business as
- Medical Park Hospital Anesthesia
- Practice address
- 2001 S Main St
Hope, AR 71801-8124 - Phone
- (501) 227-0700
- Fax
- (501) 227-0744
- NPI assigned
- Jun 23, 2011
- Organization subpart
- Yes
- Parent organization
- MEDICAL PARK HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paula A Keys
- Title
- Billing MGR
- Phone
- (501) 227-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
2001 S Main St
Hope, AR 71801-8124
Mailing address
PO Box 55990
Little Rock, AR 72215-5990
Phone (501) 227-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5G473 | Other | AR | BCBS |
Other names 1
- Medical Park Hospital Anesthesia
National Provider Directory
National Provider Directory- Part of
- Signature Medical Park Hospital L L C
Locations
302 Bill Clinton Dr
Ste B
Hope, AR 71801
Phone (870) 722-5011
900 Leslie St
Ste 2
Nashville, AR 71852
Phone (870) 845-0704
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hope, AR
- NPI 1932193687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311206400000",
"number": "1780970111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55990",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722155990",
"telephone_number": "501-227-0700",
"fax_number": "501-227-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718018124",
"telephone_number": "501-227-0700",
"fax_number": "501-227-0744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL PARK HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL PARK HOSPITAL",
"enumeration_date": "2011-06-23",
"last_updated": "2011-07-21",
"status": "A",
"authorized_official_last_name": "KEYS",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "501-227-0700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5G473",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Park Hospital Anesthesia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hope, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.