OUACHITA PHYSICIAN SERVICES, LLC (NPI# 1215479159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215479159 |
| Entity Type | Organization |
| Organization Name | OUACHITA PHYSICIAN SERVICES, LLC |
| Practice Address |
415 Hospital Dr Ste. 3 Camden AR 71701-4615 |
| Practice Telephone | 8708361300 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | PEGGY ABBOTT (PRESIDENT & CEO) |
| Authorized Official Telephone | 8708361200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1235526476 | Ouachita Physician Services, LLC | Clinic/Center | 476 Hospital Dr, Camden, AR 71701-4616 | 2015-04-24 |
| Street Address |
415 HOSPITAL DR STE. 3 |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518496538 | Richard Michael Landaverde | Nurse Practitioner | 415 Hospital Dr, Camden, AR 71701-4615 | 2017-06-05 |
| 1780039206 | Ouachita County Medical Center | Clinic/Center | 415 Hospital Dr, Camden, AR 71701-4615 | 2016-05-03 |
| 1184028771 | Marina K Henry Aprn Pa | Nurse Practitioner | 415 Hospital Dr, Camden, AR 71701-4615 | 2014-10-10 |
| 1912315490 | Marina Henry | Nurse Practitioner | 415 Hospital Dr, Camden, AR 71701-4615 | 2014-07-28 |
| 1255522967 | Charles H. Fohn M.d.p.a. | Surgery | 415 Hospital Dr, Camden, AR 71701-4615 | 2007-08-07 |
| 1710040506 | Neat Rx Inc | Pharmacy | 415 Hospital Dr, Camden, AR 71701-4615 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162268 | Jennifer Margaret Burg | Surgery | Cooper Surgical Associates, Sheridan Pavilion, 3 Cooper, Suite 411, Camden, NJ 08103 | 2012-03-29 |
| 1972747517 | Michael Trayser Dunaway | Surgery | 1413 Mill St, Camden, SC 29020-2934 | 2009-04-27 |
| 1831345461 | David Daniel Shersher | Surgery | 3 Cooper Plz Rm 221, Camden, NJ 08103-1438 | 2008-08-14 |
| 1720020647 | Mark A Shina | Surgery | 415 Hospital Dr Ste 3, Camden, AR 71701 | 2006-06-12 |
| 1326099912 | Edward A Gill | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2006-05-16 |
| 1962486761 | Prakash Vaidy | Surgery | 379 Walmart Dr, Camden, DE 19934-1365 | 2005-12-05 |
| 1174511091 | Diane Gillum | Surgery | 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103-1461 | 2005-10-13 |
| 1366998619 | Alireza Mofid | Surgery | 1 Cooper Plz, Camden, NJ 08103 | 2016-08-28 |
| 1437549482 | William Matthew Harris | Surgery | 1600 Haddon Ave, Camden, NJ 08103 | 2015-01-29 |
| 1457764169 | Kershawhealth | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2014-06-10 |
| Find all providers in CAMDEN | ||||
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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.