SOUTH ARKANSAS ENDOCRINOLOGY


Address: 4747 Dusty Lake Dr Ste G2, Pine Bluff, AR 71603-9056
Phone: 8708799595

SOUTH ARKANSAS ENDOCRINOLOGY (NPI# 1275599789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275599789
Entity Type Organization
Organization Name SOUTH ARKANSAS ENDOCRINOLOGY
Practice Address 4747 Dusty Lake Dr Ste G2
Pine Bluff
AR 71603-9056
Mailing Address Po Box 926
Pine Bluff
AR 71613-0926
Practice Telephone 8708799595
Practice Fax Number 8708799599
Mailing Telephone 8708799595
Mailing Fax Number 8708799599
Enumeration Date 2006-04-24
Last Update Date 2007-09-28
Authorized Official Name DR. MAHER ALESALI (OWNER)
Authorized Official Telephone 8708799595
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center E2897 AR Ambulatory Health Care Facilities

Office Location

Street Address 4747 DUSTY LAKE DR STE G2
City PINE BLUFF
State AR
Zip Code 71603-9056

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445038 Hannah Carter Dentist 3801 S Olive St, Pine Bluff, AR 71603 2019-06-11
1821544628 Nauman Yunus Md Pa Internal Medicine 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 2016-08-31
1407278120 Arkansas Cancer Clinic Pa Radiology 7200 South Hazel Street, Pine Bluff, AR 71603 2014-01-15
1730515396 Sharon Yvette Webb Student in an Organized Health Care Education/Training Program 2318 Kyle Street, Pine Bluff, AR 71603 2013-09-16
1477992733 David Larry Byrd Pharmacist 5 Longmeadow, Pine Bluff, AR 71603 2013-06-20
1437400371 Thomas Jordan Harper Pharmacist 2809 South Camden Road, Pine Bluff, AR 71603 2012-10-01
1992080469 C&d Disability.inc Early Intervention Provider Agency 4806 W 9th Street, Pine Bluff, AR 71603 2011-10-17
1457645863 Clifton G Roaf & Marvin Q Caudle Dentist 1310 South Linden Street, Pine Bluff, AR 71603 2011-06-02
1932402682 Mary Campbell Licensed Practical Nurse 2302 W. 28th, Suite A, Pine Bluff, AR 71603 2010-12-17
1245468925 Evan N Newbolt Ophthalmology 3805 West 28th Ave, Pine Bluff, AR 71603 2009-07-01
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811553555 Diet of A Lifetime, LLC Clinic/Center 123 S Pine St, Pine Bluff, AR 71601-4222 2019-05-17
1134202336 Walker Healthcare for Women Clinic/Center 1305 W 43rd Ave, Pine Bluff, AR 71603-7024 2006-10-23
1841235868 Jefferson Hospital Association, Inc Clinic/Center 4747 Dusty Lake Dr Ste 101, Pine Bluff, AR 71603-9057 2006-06-17
1861729311 V. Bryan Perry Md Pa Clinic/Center 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 2009-11-04
1730351941 Jefferson Hospital Association Clinic/Center 1801 W 40th Ave, Suite 4b, Pine Bluff, AR 71603-6940 2008-03-27
1891975173 Amy Boast Cahill, M.d., P.a. Clinic/Center 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 2007-11-05
1538286554 Advanced O&p Techniques Clinic/Center 2425 W 28th Ave, Pine Bluff, AR 71603-5051 2007-03-23
1053484782 Jefferson Hospital Association Clinic/Center 1400 Claud Rd, Pine Bluff, AR 71602-8622 2006-11-17
1073549242 Mike S. Mcfarland Mdpa Clinic/Center 3805 W 28th Ave, Pine Bluff, AR 71603-4774 2006-06-23
1750345575 J. W Nuckolls Md Clinic/Center 1801 W 40th Ave, Suite 1c, Pine Bluff, AR 71603-6956 2006-04-17
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Competitor

Search similar providers

City PINE BLUFF
Zip Code 71603

Improve Information

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Dataset Information

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.

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