Organization Active NPI

Conway Digestive Health Center, Inc.

  • Gastroenterology Physician
  • Conway, AR
National Provider Identifier
1790886463
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E1456 Issued in AR
Legal business name
CONWAY DIGESTIVE HEALTH CENTER, INC.
Practice address
2200 Ada Ave
Suite 201
Conway, AR 72034-4985
Phone
(501) 932-0282
Fax
(501) 932-0284
NPI assigned
Sep 26, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Frank Martin Moix, M.D.NPI 1518950823
Title
Principal
Phone
(501) 932-0282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E1456 AR Primary

Addresses

Primary practice location

2200 Ada Ave
Suite 201
Conway, AR 72034-4985

Mailing address

2200 Ada Ave
Suite 201
Conway, AR 72034-4985
Phone (501) 932-0282

Other identifiers 1

IdentifierTypeStateIssuer
155226002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1790886463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "address_2": "SUITE 201",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344985",
            "telephone_number": "501-932-0282",
            "fax_number": "501-932-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "address_2": "SUITE 201",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344985",
            "telephone_number": "501-932-0282",
            "fax_number": "501-932-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY DIGESTIVE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "MOIX",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "501-932-0282",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E1456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155226002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.