Nick Paslidis MD PA Central Arkansas Internal Medicine Consutling

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E0216 Issued in AR

Legal business name

NICK PASLIDIS MD PA CENTRAL ARKANSAS INTERNAL MEDICINE CONSUTLING

Practice address

821 E Park Hwy 70
Carlilse, AR 72024

Phone

(501) 223-9948

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Nick J Paslidis, M.D.NPI 1811955990

Title

Provider

Phone

(501) 223-9948

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Med Consulting Cent AR Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sleep Centers of Arkansas - Searcy LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Searcy, AR
  • NPI 1184639627

  Member Of

  NPD member

Practitioners 2

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.

• Nick J Paslidis, MD

  • Internal Medicine Physician
  • Sedona, AZ
  • NPI 1811955990

  AR

  Medicare reassignment Authorized official
• Drexel L Jordan, APN

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1851481337
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1982737169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 EL CAMINO RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E PARK HWY 70",
            "city": "CARLILSE",
            "state": "AR",
            "postal_code": "72024",
            "telephone_number": "501-223-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK PASLIDIS MD PA CENTRAL ARKANSAS INTERNAL MEDICINE CONSUTLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "PASLIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "501-223-9948",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E0216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126382001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PRACTICEFUSION",
            "affiliation": "N",
            "address_1": "821 E park hwy 70",
            "city": "Carlilse",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Internal Med Consulting Cent AR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Internal Med Consulting Cent AR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.