Organization Active NPI

Hope Medical Park Hospital

  • Certified Registered Nurse Anesthetist
  • Hope, AR
National Provider Identifier
1780970111
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5G473OtherARBCBS

Other names 1

  • Medical Park Hospital Anesthesia Doing business as

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.

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.

Verify at the official NPI Registry.