DR. SAMUEL SELASIE MORTOTI (NPI# 1154588762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154588762 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL SELASIE MORTOTI |
| Credential | MBCHB |
| Practice Address |
2000 Mclain St Suite H Newport AR 72112-3661 |
| Mailing Address |
5412 Deerfield Dr Jonesboro AR 72404-8467 |
| Practice Telephone | 8705232404 |
| Mailing Telephone | 2022904161 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E-7981 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2000 MCLAIN ST SUITE H |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835756 | Randall E Hunt | Family Medicine | 2000 Mclain St, Suite 2b, Newport, AR 72112-3661 | 2005-10-18 |
| 1417421561 | Lhcg Cxxxxii, LLC | Home Health | 2000 Mclain St, Newport, AR 72112-3661 | 2019-01-11 |
| 1245680321 | Kerry Hanna | Nurse Practitioner | 2000 Mclain St, Newport, AR 72112-3661 | 2016-06-20 |
| 1073636551 | Wade Falwell, M.d.,p.a. | Clinic/Center | 2000 Mclain St, Suite G, Newport, AR 72112-3661 | 2007-04-09 |
| 1124171293 | Paul J. Hergenroeder, M.d., Ltd | Obstetrics & Gynecology | 2000 Mclain St, Newport, AR 72112-3661 | 2007-01-19 |
| 1972615730 | Archie Del Mundo Cachola | Pediatrics | 2000 Mclain St, Suite F, Newport, AR 72112-3661 | 2006-08-31 |
| 1639111347 | Newport Hospital Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 2000 Mclain St, Newport, AR 72112-3661 | 2006-06-10 |
| 1477509008 | Melvin Nance | Family Medicine | 2000 Mclain St, Newport, AR 72112-3661 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1891785374 | Robert Martin | Internal Medicine | 434 4th St Ste 305, Newport, TN 37821-3735 | 2005-10-25 |
| 1912210840 | Providence Health & Services | Internal Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2010-07-20 |
| 1639391741 | George T Charlton | Internal Medicine | 19 Friendship St, Ste 260 Borden Cary Bldg, Newport, RI 02840-2272 | 2007-05-02 |
| 1871500793 | Joseph Benjamin Weiss | Internal Medicine | 19 Friendship St, Suite 260, Newport, RI 02840-2272 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580996 | Hmdod LLC | Internal Medicine | 403 W Oak St Ste 101, El Dorado, AR 71730-4573 | 2019-10-25 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
| 1467820928 | Octavio Herrera-verdugo | Internal Medicine | 1225 Breckenridge Dr Ste 110, Little Rock, AR 72205-1565 | 2015-09-14 |
| 1225389588 | Van Buren Hma, LLC | Internal Medicine | 2010 Chestnut St Ste 1, Van Buren, AR 72956-5321 | 2012-09-27 |
| 1902163389 | Central Arkansas Heart Center | Internal Medicine | 650 United Drive, Ste 300, Conway, AR 72032 | 2012-04-23 |
| 1356635411 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 2790 Bella Vista Way, Bella Vista, AR 72714-3706 | 2011-06-07 |
| 1124317854 | Wesley Martin Fiser | Internal Medicine | 9501 Baptist Health Dr Ste 600, Little Rock, AR 72205 | 2011-04-04 |
| 1821307943 | James William Wilson | Internal Medicine | 1000 Miller Creek Rd., Batesville, AR 72501 | 2010-10-07 |
| 1861706046 | Yazan Zuhair Ghosheh | Internal Medicine | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2010-07-30 |
| 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.