Active NPI
Cardiac & Vascular Center of Arkansas PA
- Cardiovascular Disease Physician
- Pine Bluff, AR
National Provider Identifier
1881614642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MC1682
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134088002 | Medicaid | AR | |
| CI2926 | Other | AZ | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Nuclear Medicine Technology Radiologic Technologist
- Pine Bluff, AR
- NPI 1265678114
Member Of
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.