Healthcare Provider Details
I. General information
NPI: 1003734229
Provider Name (Legal Business Name): HIGHLANDS ONCOLOGY GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 PARKWAY CIR
SPRINGDALE AR
72762-6362
US
IV. Provider business mailing address
3901 PARKWAY CIR STE 100
SPRINGDALE AR
72762-5328
US
V. Phone/Fax
- Phone: 479-587-1700
- Fax: 479-587-1366
- Phone: 479-587-1700
- Fax: 479-587-1366
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERESA
A
NAGY
Title or Position: CREDENTIALING COORDINATOR
Credential: CPCS
Phone: 479-313-6802