NPIMap

Organization Active NPI

Cardiology Care of South Arkansas, Inc

  • Clinic/Center
  • El Dorado, AR
National Provider Identifier
1982844114
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A03003 Issued in AR
Legal business name
CARDIOLOGY CARE OF SOUTH ARKANSAS, INC
Practice address
704 S Timberlane Dr
Suite 12
El Dorado, AR 71730-6929
Phone
(870) 862-8700
Fax
(870) 862-8703
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mrs. Angela Christine Simmons, APN
Title
President/Owner
Phone
(870) 862-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A03003 AR Primary

Addresses

Primary practice location

704 S Timberlane Dr
Suite 12
El Dorado, AR 71730-6929

Mailing address

704 S Timberlane Dr
Suite 12
El Dorado, AR 71730-6929
Phone (870) 862-8700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1982844114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S TIMBERLANE DR",
            "address_2": "SUITE 12",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306929",
            "telephone_number": "870-862-8700",
            "fax_number": "870-862-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S TIMBERLANE DR",
            "address_2": "SUITE 12",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306929",
            "telephone_number": "870-862-8700",
            "fax_number": "870-862-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CARE OF SOUTH ARKANSAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "870-862-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "A03003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.