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CARDIOLOGY AND MEDICINE CLINIC P A NPI 1679567408


NPI Information

NPI: 1679567408
Provider Name: CARDIOLOGY AND MEDICINE CLINIC P A
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5315 W 12TH ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 664-0941
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CARDIOLOGY AND MEDICINE CLINIC P A is a cardiovascular disease internal medicine in Little Rock, AR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOLOGY AND MEDICINE CLINIC P A NPI is 1679567408. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5315 W 12TH ST
LITTLE ROCK, AR
ZIP 72204-858
Phone: (501) 664-0941
Fax: (501) 666-3956

The provider's authorized official is Alicia Ferguson Smith .
The authorized official title is Clinic Administrator and has the following contact phone number (501) 664-0941.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 7/18/2012.


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
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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
15B371MEDICARE PINARKANSAS
2D9086OTHERRAILROAD MEDICARE
35B371OTHERARKANSASBLUE CROSS/BLUE SHIELD
4145330002MEDICAIDARKANSAS

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

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