CENTRAL ARKANSAS HEART CENTER (NPI# 1902163389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902163389 |
| Entity Type | Organization |
| Organization Name | CENTRAL ARKANSAS HEART CENTER |
| Practice Address |
650 United Drive Ste 300 Conway AR 72032 |
| Practice Telephone | 5012058389 |
| Practice Fax Number | 5012058495 |
| Mailing Telephone | 5012058389 |
| Mailing Fax Number | 5012058495 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | DR. JAMES THURTHUMALY THOMAS (OWNER) |
| Authorized Official Telephone | 5012058389 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E4628 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
650 UNITED DRIVE STE 300 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
| 1700845427 | James T. Thomas | Internal Medicine | 650 United Dr, Ste 300, Conway, AR 72032-7826 | 2006-03-21 |
| 1871588251 | Stephen T Brady | Internal Medicine | 2376 Cypress Cir Ste 102, Conway, SC 29526-8964 | 2005-09-13 |
| 1245231372 | Andrew J Gresko | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-10 |
| 1639624372 | Conway Regional Medical Center,inc | Internal Medicine | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-23 |
| 1285792481 | Conway Heart Clinic Pllc | Internal Medicine | 525 Western Ave, Suite 304, Conway, AR 72034-4967 | 2006-12-04 |
| 1548201569 | William M Cicio | Internal Medicine | 2376 Cypress Cir Ste 102, Conway, SC 29526-8964 | 2006-06-09 |
| 1710989264 | Keith E. Wyche | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580996 | Hmdod LLC | Internal Medicine | 403 W Oak St Ste 101, El Dorado, AR 71730-4573 | 2019-10-25 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1225389588 | Van Buren Hma, LLC | Internal Medicine | 2010 Chestnut St Ste 1, Van Buren, AR 72956-5321 | 2012-09-27 |
| 1356635411 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2790 Bella Vista Way, Bella Vista, AR 72714-3706 | 2011-06-07 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1821307943 | James William Wilson | Internal Medicine | 1000 Miller Creek Rd., Batesville, AR 72501 | 2010-10-07 |
| 1861706046 | Yazan Zuhair Ghosheh | Internal Medicine | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2010-07-30 |
| 1942439120 | Ammc Physician Services, Inc | Internal Medicine | 1000 W Kingshighway Ste 9, Paragould, AR 72450-4197 | 2009-07-08 |
| 1679701213 | Mena Heart and Vascular Clinic | Internal Medicine | 403 Morrow St N, Suite G, Mena, AR 71953-4324 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.