Provider Demographics
NPI:1659352698
Name:SCHWARZ CARDIOLOGY PLLC PA
Entity Type:Organization
Organization Name:SCHWARZ CARDIOLOGY PLLC PA
Other - Org Name:SCHWARZ CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-709-7300
Mailing Address - Street 1:PO BOX 3387
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72913-3387
Mailing Address - Country:US
Mailing Address - Phone:479-709-7300
Mailing Address - Fax:479-709-7308
Practice Address - Street 1:6101 PHOENIX AVE
Practice Address - Street 2:CON/ARC PLACE #3
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5083
Practice Address - Country:US
Practice Address - Phone:479-709-7300
Practice Address - Fax:479-709-7308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR3827207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR010178600OtherBLACK LUNG PROVIDER NUMBE
AR51100OtherBLUE CROSS BLUE SHIELD
OK7300OtherOKLA MEDICAID GROUP PIN
OK100728470AMedicaid
AR146018002Medicaid
AR04D0092195OtherCLIA NUMBER
AR5G241Medicare PIN
AR04D0092195OtherCLIA NUMBER