Angela Anne Fangmeier, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-2035 Issued in AR

Practice address

1101-2 N Progress Ave
Siloam Springs, AR 72761-4343

Phone

(479) 549-4228

Fax

(479) 549-3711

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • West Fork, AR
  • NPI 1336986785

  AR

  Medicare reassignment NPD
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
  • NPI 1700650249
  NPD
• Siloam Springs Arkansas Hospital Company LLC

  • General Acute Care Hospital
  • Siloam Springs, AR
  • NPI 1902051816
  NPD (past)
• St. Francis House Nwa, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1699785089
  NPD (past)
• St. Francis House Nwa, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1710160098
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1861475147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S HOLLY ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613018",
            "telephone_number": "479-549-4228",
            "fax_number": "479-549-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101-2 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614343",
            "telephone_number": "479-549-4228",
            "fax_number": "479-549-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGMEIER",
        "first_name": "ANGELA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ARKANSAS",
            "identifier": "5L060",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136331001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenia Oneyda Espinal
• Elisabeth Michelle Evans, LAC
• Poiema Evans
• Tiffany Kay Evans, ATC/LAT
• Kynlee Ezell
• Mary Emily Featherstone
• Abby P Feiner
• Mark A Fenner
• Tiffney Finley
• Krista Renee Flores

• All providers in Siloam Springs, AR
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.