MEDICARE: SCHWARZ CARDIOLOGY PLLC PA

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	207RC0000X	Cardiovascular Disease Physician	R3827	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010178600	OTHER	AR	BLACK LUNG PROVIDER NUMBE
2	51100	OTHER	AR	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	04D0092195	OTHER	AR	CLIA NUMBER

General Provider Information

NPI Number	:	1659352698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWARZ CARDIOLOGY PLLC PA

Provider Business Mailing Address
First Line	:	PO BOX 3387
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72913-3387
Country	:	US
Telephone Number	:	479-709-7300
Fax Number	:	479-709-7308

Provider Business Practice Location Address
First Line	:	6101 PHOENIX AVE
Second Line	:	CON/ARC PLACE #3
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5083
Country	:	US
Telephone Number	:	479-709-7300
Fax Number	:	479-709-7308

Authorized Official
Title or Position	:	PRESIDENT / DOCTOR
Name	:	DR. JULIO F SCHWARZ
Credential	:	M.D.
Telephone Number	:	479-709-7300

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	09/02/2009

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