ARKANSAS RENAL GROUP PA (NPI# 1134404130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134404130 |
| Entity Type | Organization |
| Organization Name | ARKANSAS RENAL GROUP PA |
| Other Organization Name | SOUTH ARKANSAS NEPHROLOGY SERVICES |
| Practice Address |
620 W Grove St El Dorado AR 71730-4462 |
| Mailing Address |
115 Wrights St Hot Springs AR 71913-6240 |
| Practice Telephone | 8708620801 |
| Mailing Telephone | 5016246000 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | MRS. DONETTE LIGON (ADMINISTRATOR) |
| Authorized Official Telephone | 5016246000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 190999002 | 05 |
| Other Name | Type Code |
|---|---|
| South Arkansas Nephrology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205266632 | Arkansas Renal Group Pa | Internal Medicine | 115 Wrights St, Suite B, Hot Springs, AR 71913-6240 | 2013-11-21 |
| 1699043067 | Arkansas Renal Group Pa | Internal Medicine | 115 Wrights St, Hot Springs, AR 71913-6240 | 2011-12-13 |
| Street Address |
620 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210590 | Michael D Schonefeld | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4462 | 2006-01-20 |
| 1194067769 | Vivian Chioma Okoye | Pediatrics | 620 W Grove St, Suite 202, El Dorado, AR 71730 | 2013-03-21 |
| 1508100017 | Renal Treatment Centers Southeast Lp | Clinic/Center | 620 W Grove St, El Dorado, AR 71730-4462 | 2012-11-21 |
| 1932377256 | Julie Marie Wylie | Nurse Practitioner | 620 W Grove St, Suite 101, El Dorado, AR 71730-4462 | 2008-02-20 |
| 1588632384 | Rosaline O Fraser | Family Medicine | 620 W Grove St, Suite 201, El Dorado, AR 71730-4462 | 2006-03-09 |
| 1013982040 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-22 |
| 1275508681 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-20 |
| 1679544571 | Lisa Mcadams | Nurse Practitioner | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-01-30 |
| 1215917562 | Johnnie Hinton IIi | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4462 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509751 | Medicine and Nephrology Clinic LLC | Internal Medicine | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2016-10-21 |
| 1245210590 | Michael D Schonefeld | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4462 | 2006-01-20 |
| 1275508681 | Arkansas Nephrology Services, Ltd. | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4414 | 2006-02-20 |
| 1215917562 | Johnnie Hinton IIi | Internal Medicine | 620 W Grove St, El Dorado, AR 71730-4462 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.