Healthcare Provider Details

I. General information

NPI: 1104835800
Provider Name (Legal Business Name): CENTRAL AR CARDIOVASCULAR INSTITUTE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2266 ALBERT PIKE RD
HOT SPRINGS AR
71913-4003
US

IV. Provider business mailing address

1661 AIRPORT RD STE D
HOT SPRINGS AR
71913-8184
US

V. Phone/Fax

Practice location:
  • Phone: 501-767-1144
  • Fax:
Mailing address:
  • Phone: 501-625-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateAR

VIII. Authorized Official

Name: FREDERICK MICHAEL HEINEMANN
Title or Position: OWNER
Credential:
Phone: 501-625-7500