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HEART CLINIC ARKANSAS
NPI 1053367508
Internal Medicine - Cardiovascular Disease in Little Rock, AR

Active since May 26, 2006CLIA 04D0978456 · Waiver
10100 KANIS RD, LITTLE ROCK, AR 72205(501) 255-6000(501) 255-6400 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heart Clinic Arkansas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART CLINIC ARKANSAS (NPI 1053367508) is a healthcare organization registered as a cardiovascular disease in Little Rock, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Randy A Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1053367508
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART CLINIC ARKANSAS
Location Address10100 KANIS RDLittle Rock, AR 72205-6202
Mailing Address10100 Kanis RdLittle Rock, AR 72205-6202 · (501) 255-6000 · Fax (501) 255-6400
Phone(501) 255-6000
Fax(501) 255-6400
Organization SubpartNo
Authorized OfficialRandy A JordanPresident · (501) 255-6000
Enumeration DateMay 26, 2006
Last NPPES UpdateJanuary 21, 2011
✔ NPI 1053367508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
10100 KANIS RD, Little Rock, AR 72205
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Other Identifiers 3

Medicaid136666002AR
Other04D0978456AR · Clia Number-kanis
Medicare ID-Type Unspecified5C175AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0978456

Heart Clinic Arkansas · Little Rock, AR
Active · expires Sep 24, 2026
CLIA Number04D0978456
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorRandy A. Jordan
Laboratory Phone(501) 255-6000
Laboratory LocationHeart Clinic Arkansas10100 Kanis Road, Little Rock, AR 72205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANGELA EILEEN CARTWRIGHT APN
Nurse Practitioner
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000
DR. JAMES E SHUFFIELD MD
Internal Medicine (Interventional Cardiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000
ST. VINCENT INFIRMARY MEDICAL CENTER
Clinic/Center (Medical Specialty)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 225-6000
ASHLEY ALLISON LONG APRN
Nurse Practitioner (Acute Care)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000
YALCIN HACIOGLU M.D.
Internal Medicine (Interventional Cardiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000
DR. MANGARAJU CHAKKA M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000
KRISTINA EMMONS
Registered Nurse
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6137
MR. JOSHUA ANDREW GARNER APRN
Nurse Practitioner (Acute Care)
10100 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 255-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart Clinic Arkansas's NPI number?

The NPI number for Heart Clinic Arkansas is 1053367508. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Heart Clinic Arkansas located?

Heart Clinic Arkansas is located at 10100 Kanis Rd, Little Rock, AR 72205. The listed phone number is (501) 255-6000.

What is Heart Clinic Arkansas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Heart Clinic Arkansas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0978456) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heart Clinic Arkansas was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.