CONWAY HEART CLINIC PLLC (NPI# 1285792481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285792481 |
| Entity Type | Organization |
| Organization Name | CONWAY HEART CLINIC PLLC |
| Practice Address |
525 Western Ave Suite 304 Conway AR 72034-4967 |
| Practice Telephone | 5013277555 |
| Practice Fax Number | 5013279466 |
| Mailing Telephone | 5013277555 |
| Mailing Fax Number | 5013279466 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DR. LLOYD PARKER NORRIS (OFFICER) |
| Authorized Official Telephone | 5013277555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C-7132 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE ID | 5G415 | 01 |
| Street Address |
525 WESTERN AVE SUITE 304 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888732 | Homer Luther Fleisher | Surgery | 525 Western Ave, Suite 203, Conway, AR 72034-4967 | 2005-08-10 |
| 1245727486 | Bethany Roberts | Nurse Anesthetist, Certified Registered | 525 Western Ave, Conway, AR 72034 | 2018-04-13 |
| 1538615927 | Conway Regional Medical Center, Inc. | Clinic/Center | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-26 |
| 1639624372 | Conway Regional Medical Center,inc | Internal Medicine | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-23 |
| 1578951372 | Tammy Williams | Nurse Practitioner | 525 Western Ave, Suite 304, Conway, AR 72034-4967 | 2014-12-31 |
| 1386064657 | Manuel Anthony Warrior Jr. | Registered Nurse | 525 Western Ave, Suite 201, Conway, AR 72034-4967 | 2014-04-24 |
| 1811333206 | Anthony Tyler Manning | Surgery | 525 Western Ave, Ste 203, Conway, AR 72034-4980 | 2013-05-13 |
| 1306157656 | Conway Regional Medical Center,inc | Clinic/Center | 525 Western Ave, Suite 301, Conway, AR 72034-4967 | 2010-07-01 |
| 1588975825 | Conway Regional Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-07-01 |
| 1528386547 | Ella Cathrine Whaley | Internal Medicine | 525 Western Ave, Suite 302, Conway, AR 72034-4967 | 2010-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
| 1902163389 | Central Arkansas Heart Center | Internal Medicine | 650 United Drive, Ste 300, Conway, AR 72032 | 2012-04-23 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on CONWAY HEART CLINIC PLLC.
| 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.