NPIMap

Organization Active NPI

Northwest Arkansas Heart & Vascular Center

  • Interventional Cardiology Physician
  • Fayetteville, AR
National Provider Identifier
1982648663
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MC1831 Issued in AR
Legal business name
NORTHWEST ARKANSAS HEART & VASCULAR CENTER
Practice address
3211 N. North Hills Blvd.
Suite 110
Fayetteville, AR 72703
Phone
(479) 571-4338
Fax
(479) 571-4015
NPI assigned
Jun 15, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Rose Smithson
Title
Administrator
Phone
(479) 571-4338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X MC1831 AR Primary

Addresses

Primary practice location

3211 N. North Hills Blvd.
Suite 110
Fayetteville, AR 72703

Mailing address

3211 N. North Hills Blvd.
Suite 110
Fayetteville, AR 72703
Phone (479) 571-4338

National Provider Directory

National Provider Directory

Locations

125 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 587-9201

601 W Maple Ave
Ste 213
Springdale, AR 72764
Phone (479) 750-2080

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1982648663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 N. NORTH HILLS BLVD.",
            "address_2": "SUITE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-571-4338",
            "fax_number": "479-571-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 N. NORTH HILLS BLVD.",
            "address_2": "SUITE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-571-4338",
            "fax_number": "479-571-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS HEART & VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-571-4338"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "MC1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.