DR. ANDRE J NOLEWAJKA (NPI# 1467456954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467456954 |
| Entity Type | Individual |
| Full Name | DR. ANDRE J NOLEWAJKA |
| Credential | MD; M.CL.SC |
| Practice Address |
7001 Rogers Ave Ste 401 Fort Smith AR 72903-4073 |
| Mailing Address |
Po Box 10570 Fort Smith AR 72917-0570 |
| Practice Telephone | 4793144650 |
| Practice Fax Number | 4794529459 |
| Mailing Telephone | 4793144650 |
| Mailing Fax Number | 4794529459 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
R2997 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100078200A | 05 | |
| DEPT OF LABOR | 119173 | 01 | |
| BLACK LUNG | 29730300 | 01 | |
| TRAVELERS M/C R/R | 60014634 | 01 | |
| TRICARE | A002 | 01 | |
| QUALCHOICE | 14059000040 | 01 | |
| UMWA M/C | 29730300 | 01 | |
| MEDICARE, ARK BC, FED BC | 53875 | 01 | |
| AR | 105850001 | 05 |
| Street Address |
7001 ROGERS AVE STE 401 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251821 | Kathleen Toon | Registered Nurse | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2019-11-27 |
| 1992244800 | Shelly Johnson | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2017-02-13 |
| 1326388125 | Alesia J Davis | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2013-02-15 |
| 1134474976 | Aliakbar Rashid Dadla | Internal Medicine | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2012-07-18 |
| 1376804609 | Priyanka Sanon | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2012-06-04 |
| 1407140569 | Connie Jin Ward | Nurse Practitioner | 7001 Rogers Ave, Suite 200, Fort Smith, AR 72903-4073 | 2011-06-07 |
| 1649583923 | Surbhi Chamaria | Internal Medicine | 7001 Rogers Ave, Fort Smith, AR 72903 | 2010-07-15 |
| 1922336031 | Jones Anesthesia Inc | Nurse Anesthetist, Certified Registered | 7001 Rogers Ave, Suite 502, Fort Smith, AR 72903-4073 | 2009-12-01 |
| 1023346202 | Mercy Clinic Fort Smith Communities | Clinic/Center | 7001 Rogers Ave, Suite 401a, Fort Smith, AR 72903-4073 | 2009-11-25 |
| 1477780799 | Eric Anthony Heim | Orthopaedic Surgery | 7001 Rogers Ave, Fort Smith, AR 72903-4073 | 2009-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376804609 | Priyanka Sanon | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2012-06-04 |
| 1255359931 | John Kurt Mehl | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.