RUSSELLVILLE CARDIOLOGY CONSULTANTS PA NPI 1205076387

NPI Information

NPI: 1205076387
Provider Name: RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
106 S INGLEWOOD AVE
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-4311
Get Directions

RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA is a cardiovascular disease internal medicine in Russellville, 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. RUSSELLVILLE CARDIOLOGY CONSULTANTS, PA NPI is 1205076387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 S INGLEWOOD AVE
RUSSELLVILLE, AR
ZIP 72801-353
Phone: (479) 968-4311
Fax: (479) 968-4399

The provider's authorized official is Dai Yuan Wang .
The authorized official title is Owner and has the following contact phone number (479) 968-4311.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/13/2009.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	E5291	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	I24377	MEDICARE UPIN	ARKANSAS

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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