Healthcare Provider Details
I. General information
NPI: 1902801848
Provider Name (Legal Business Name): VLADIMIR V KARPITSKIY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/16/2005
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 MERCY LN SUITE 504
HOT SPRINGS AR
71913-6442
US
IV. Provider business mailing address
11800 COYOTE DR
SPANISH FORT AL
36527-8758
US
V. Phone/Fax
- Phone: 501-321-9262
- Fax: 501-321-9310
- Phone: 251-626-7687
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0008X |
| Taxonomy | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| License Number | E-3658 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | MD.33726 |
| License Number State | AL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084V0102X |
| Taxonomy | Vascular Neurology Physician |
| License Number | E-3658 |
| License Number State | AR |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | E-3658 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: