Organization
HIGHLANDS ONCOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NAGY (CREDENTIALING COORDINATOR)
(479) 313-6888
Entity
Organization
Contact information
Practice address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Mailing address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MC-1660
AR
207VX0201X
Gynecologic Oncology Physician
E-6436
AR
2085R0001X
Radiation Oncology Physician
ARK-014-ACC-08-08
AR
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728270A
—
OK
05
—
129384002
—
AR
05
—
188047002
—
AR
05
—
189916002
—
AR
05
—
223602002
—
AR
05
—
241158002
—
AR
05
—
299975002
—
AR
05
—
500658505
—
MO
01
—
5B823
ARKANSAS BLUE CROSS
AR
Enumeration date
01/30/2006
Last updated
04/10/2024
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