Organization Active NPI

Cardiac & Vascular Center of Arkansas PA

  • Cardiovascular Disease Physician
  • Pine Bluff, AR
National Provider Identifier
1881614642
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MC1682 Issued in AR
Legal business name
CARDIAC & VASCULAR CENTER OF ARKANSAS PA
Practice address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone
(870) 534-2900
Fax
(870) 534-5323
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Shabbir Dharamsey, M.D.
Title
Owner
Phone
(870) 534-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MC1682 AR Primary

Addresses

Primary practice location

7200 S Hazel St
Pine Bluff, AR 71603-7836

Mailing address

7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 534-2900

Other identifiers 2

IdentifierTypeStateIssuer
134088002MedicaidAR
CI2926OtherAZRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1609 W 40th Ave
Ste 312
Pine Bluff, AR 71603
Phone (870) 534-2900

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1881614642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037836",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VASCULAR CENTER OF ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "DHARAMSEY",
        "authorized_official_first_name": "SHABBIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-534-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "MC1682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134088002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.