MEDICARE: DR. JOEL D CARVER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	C5382	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1671058	OTHER	AR	UNITED HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4510471	OTHER	AR	AETNA
5	122710000	OTHER	AR	QUALCHOICE
6	C5382	OTHER	AR	STATE LICENSE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558325324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL D CARVER M.D.

Provider Business Mailing Address
First Line	:	3211 N NORTHHILLS BLVD
Second Line	:	SUITE 110
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4007
Country	:	US
Telephone Number	:	479-571-4338
Fax Number	:	479-571-4015

Provider Business Practice Location Address
First Line	:	3211 N NORTHHILLS BLVD
Second Line	:	SUITE 110
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4007
Country	:	US
Telephone Number	:	479-571-4338
Fax Number	:	479-571-4015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. JOEL D CARVER M.D.” Practice Location

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