CECIL WATSON CUPP M.D. NPI 1083604516

NPI Information

NPI: 1083604516
Provider Name: CECIL WATSON CUPP, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3633 CENTRAL AVENUE
SUITE D
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 623-6693
Get Directions

Cecil Watson Cupp, M.D. is a diagnostic radiology radiology in Hot Springs, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Cecil Watson Cupp, M.D. NPI is 1083604516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3633 CENTRAL AVENUE
SUITE D
HOT SPRINGS, AR
ZIP 71913-475
Phone: (501) 623-6693
Fax: (501) 623-9403

The NPI 1083604516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C5629	ARKANSAS	No
2	2085R0202X	Radiology	Diagnostic Radiology	E-5629	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109682001	MEDICAID	ARKANSAS
2	C5629	OTHER	ARKANSAS	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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