Provider Type Icon

WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES NPI 1235194689


NPI Information

NPI: 1235194689
Provider Name: WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2713 S 74TH ST
104
FORT SMITH, AR
ZIP 72903
Phone: (479) 478-7059
Get Directions

WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES is a specialist in Fort Smith, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES NPI is 1235194689. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2713 S 74TH ST
104
FORT SMITH, AR
ZIP 72903-170
Phone: (479) 478-7059
Fax: (479) 478-7061

The provider's authorized official is Karen G Beard .
The authorized official title is Billing Manager and has the following contact phone number (479) 478-7059.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 11/19/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistR3835ARKANSASNo
2174400000XSpecialistN8359ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1142620002MEDICAIDARKANSAS
2CH8694OTHERRAILROAD MEDICARE GROUP
35J095MEDICARE ID-TYPE UNSPECIFIEDARKANSASDAVID M MCCOY MD
4F59451MEDICARE UPINARKANSAS
5114669001MEDICAIDARKANSAS
652171MEDICARE ID-TYPE UNSPECIFIEDARKANSASROBERT C JAGGERS MD
7C66044MEDICARE UPINARKANSAS
8123788001MEDICAIDARKANSAS
95C498MEDICARE PINARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.