Active NPI
Lonnie Harrison, PA
- Interventional Cardiology Physician
- Benton, AR
National Provider Identifier
1881132363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- C7481
- Legal business name
- LONNIE HARRISON, PA
- Practice address
- 3 Medical Park Dr Ste 201
Benton, AR 72015-3725 - Phone
- (501) 860-7189
- Fax
- (501) 860-7183
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lonnie E Harrison, MD
- Title
- Owner
- Phone
- (501) 860-7189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C7481 | AR | |
| Interventional Cardiology Physician | 207RI0011X | C7481 | AR | Primary |
Addresses
Primary practice location
3 Medical Park Dr Ste 201
Benton, AR 72015-3725
Mailing address
3 Medical Park Dr Ste 201
Benton, AR 72015-3725
Phone (501) 860-7189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115615001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3 Medical Park Dr
Ste 201
Benton, AR 72015
Phone (501) 337-5678
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1003048943
-
- Family Nurse Practitioner
- Fort Smith, AR
- NPI 1568038206
-
- Acute Care Nurse Practitioner
- Hot Springs, AR
- NPI 1376999607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1881132363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MEDICAL PARK DR STE 201",
"city": "BENTON",
"state": "AR",
"postal_code": "720153725",
"telephone_number": "501-860-7189",
"fax_number": "501-860-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL PARK DR STE 201",
"city": "BENTON",
"state": "AR",
"postal_code": "720153725",
"telephone_number": "501-860-7189",
"fax_number": "501-860-7183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONNIE HARRISON, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "LONNIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-860-7189",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "AR",
"license": "C7481",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "C7481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115615001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.