ARKANSAS CARDIOVASCULAR ASSOCIATES, P.C. (NPI# 1649207861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649207861 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CARDIOVASCULAR ASSOCIATES, P.C. |
| Practice Address |
500 S University Ave Suite 711 Little Rock AR 72205-5302 |
| Practice Telephone | 5016636391 |
| Practice Fax Number | 5016636978 |
| Mailing Telephone | 5016636391 |
| Mailing Fax Number | 5016636978 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MOSES KELLEY III (PRESIDENT) |
| Authorized Official Telephone | 5016636391 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C-8271 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| QC | 03010013300 | 01 | |
| AR | UHC | 2500177 | 01 |
| AETNA | 7236050 | 01 | |
| AR | BCBS | 5F666 | 01 |
| AR | RAILROAD | 060070984 | 01 |
| AR | 146873001 | 05 | |
| AR | 195920002 | 05 |
| Street Address |
500 S UNIVERSITY AVE SUITE 711 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618318 | Tammy Lea Dunn | Specialist | 500 S University Ave, Ste 606, Little Rock, AR 72205-5342 | 2005-05-31 |
| 1043843915 | Jeff Pinto | Nurse Practitioner | 500 S University Ave, Little Rock, AR 72205-5302 | 2020-02-19 |
| 1821534835 | Brittney Denell Lisenbey | Nurse Practitioner | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2017-01-13 |
| 1245687029 | Arkansas Breast Surgery Corp. | Surgery | 500 S University Ave, Suite 219, Little Rock, AR 72205-5302 | 2016-05-20 |
| 1497128722 | Alexandra Blue Gonzalez | Physician Assistant | 500 S University Ave, Little Rock Dermatology Clinic Suite 301, Little Rock, AR 72205-5302 | 2015-11-09 |
| 1609251842 | Pediatric Physicians Group, Pllc | Pediatrics | 500 S University Ave, Suite 200, Little Rock, AR 72205-5302 | 2015-07-29 |
| 1609260157 | Gabriel M Peal M.d,.,pa | Specialist | 500 S University Ave, Suite 221, Little Rock, AR 72205-5302 | 2015-03-23 |
| 1376947804 | Blood and Cancer Institute of Little Rock | Clinical Medical Laboratory | 500 S University Ave, Suite 808, Little Rock, AR 72205-5302 | 2014-10-13 |
| 1457765182 | Jena Gray | Registered Nurse | 500 S University Ave, Suite 505, Little Rock, AR 72205-5302 | 2014-06-20 |
| 1952723397 | Jesse Davis | Registered Nurse | 500 S University Ave, Ste 505, Little Rock, AR 72205-5302 | 2014-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1316009731 | Barry F Uretsky | Internal Medicine | 4301 Marham Avenue, S-304 Shorey Building, Little Rock, AR 72205 | 2006-12-14 |
| 1760580245 | David Randal Hundley | Internal Medicine | 601 S Gaines St, Little Rock, AR 72201-4007 | 2006-09-20 |
| 1609887124 | Alex N Orsini | Internal Medicine | 9501 Lile Dr Ste 600, Little Rock, AR 72205-6231 | 2006-08-10 |
| 1891719084 | Eugene S Smith IIi | Internal Medicine | 4300 W Markham St, 111b, Little Rock, AR 72205-4024 | 2006-07-27 |
| 1265451769 | James Lynn Davis | Internal Medicine | 415 N University Ave, Little Rock, AR 72205-3108 | 2006-07-18 |
| 1871547828 | Hakan Paydak | Internal Medicine | 4301 W Markham St # 532, Little Rock, AR 72205-7199 | 2006-05-22 |
| 1073576625 | Yalcin Hacioglu | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-04-06 |
| 1285628065 | Joe L. Hargrove | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on ARKANSAS CARDIOVASCULAR ASSOCIATES, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.