Organization Active NPI

Conway Hematology Oncology

  • Specialist
  • Conway, AR
National Provider Identifier
1962617241
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C8494 Issued in AR
Legal business name
CONWAY HEMATOLOGY ONCOLOGY
Practice address
350 Salem Rd Ste 4
Conway, AR 72034-6133
Phone
(501) 327-2995
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Sue Tsuda, MDNPI 1275532715
Title
Owner Partner
Phone
(501) 327-2995

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C8494 AR Primary

Addresses

Primary practice location

350 Salem Rd Ste 4
Conway, AR 72034-6133

Mailing address

350 Salem Rd Ste 4
Conway, AR 72034
Phone (501) 327-9995

Other identifiers 1

IdentifierTypeStateIssuer
123637001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000371 AR Part B Supplier - Clinic/Group Practice 9234201450 Receives reassigned benefits from 5 practitioners
Practice locations: Conway, AR

National Provider Directory

National Provider Directory
Tax ID family
Conway Hematology Oncology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Salem Rd
Ste 4
Conway, AR 72034
Phone (501) 327-2995

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1962617241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 4",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 4",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346133",
            "telephone_number": "501-327-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "TSUDA",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "501-327-2995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123637001",
            "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 Jul 30, 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.

Verify at the official NPI Registry.