NPIMap

Organization Active NPI

El Dorado Wellness Center PLLC

  • Cardiac Rehabilitation Clinic/Center
  • El Dorado, AR
National Provider Identifier
1992188999
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
EL DORADO WELLNESS CENTER PLLC
Practice address
431 Thompson Ave
Suite B
El Dorado, AR 71730-4553
Phone
(870) 639-8128
Fax
(870) 639-8129
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Veronica Segreto
Title
Owner
Phone
(870) 639-8128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

431 Thompson Ave
Suite B
El Dorado, AR 71730-4553

Mailing address

431 Thompson Ave
Suite B
El Dorado, AR 71730-4553
Phone (870) 639-8128

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1992188999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 THOMPSON AVE",
            "address_2": "SUITE B",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304553",
            "telephone_number": "870-639-8128",
            "fax_number": "870-639-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 THOMPSON AVE",
            "address_2": "SUITE B",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304553",
            "telephone_number": "870-639-8128",
            "fax_number": "870-639-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "SEGRETO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-639-8128"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "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 Sep 1, 2015; 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.