SOUTH ARKANSAS PHYSICIAN SERVICES LLC (NPI# 1427018704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427018704 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS PHYSICIAN SERVICES LLC |
| Practice Address |
460 W Oak St Suite 601 El Dorado AR 71730-4567 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 8709245680 |
| Mailing Telephone | 6154657000 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 145507002 | 05 |
| Street Address |
460 W OAK ST SUITE 601 |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365351 | Michael Fitts | Psychologist | 460 W Oak St, El Dorado, AR 71730-4500 | 2005-09-08 |
| 1619231966 | Gregory S. Backofen | General Practice | 460 W Oak St, El Dorado, AR 71730-4567 | 2012-07-02 |
| 1144584392 | Erwin R Espino | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2012-07-02 |
| 1437300860 | Eli Vinson | Pharmacist | 460 W Oak St, El Dorado, AR 71730-4567 | 2008-10-03 |
| 1902005234 | Michael Beltran Corpus | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2007-07-17 |
| 1326257387 | Shu Zhang | Family Medicine | 460 W Oak St, El Dorado, AR 71730-4567 | 2007-05-22 |
| 1164419776 | Kimberly Ann Havard | Nurse Practitioner | 460 W Oak St, El Dorado, AR 71730-4500 | 2005-09-29 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050466 | Family Care of Southern Arkansas, Ltd | Family Medicine | 3108 N West Ave, El Dorado, AR 71730-2731 | 2012-03-14 |
| 1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
| 1740315357 | Yuekui Li | Family Medicine | 460 W. Oak St, El Dorado, AR 71730 | 2007-02-22 |
| 1548329857 | Deanna Lynn Hopson | Family Medicine | 600 S Timberlane Drive, El Dorado, AR 71730-4519 | 2006-12-06 |
| 1417060286 | Robert A Watson II | Family Medicine | 3108 North West Avenue, El Dorado, AR 71730 | 2006-08-16 |
| 1396770046 | Carlton Morris Newsome | Family Medicine | 520 Lester St, El Dorado, AR 71730-4434 | 2006-07-11 |
| 1548291420 | Remel Carino Buslig | Family Medicine | 818 Doe Meadow Ln, El Dorado, AR 71730-2159 | 2006-07-06 |
| 1295796720 | Philipp Narciso | Family Medicine | 2613 Bambi Ln, El Dorado, AR 71730-5286 | 2006-04-01 |
| 1396714424 | Jerry H Grant | Family Medicine | 104 East Grove, Grantmed, El Dorado, AR 71730-3929 | 2006-03-14 |
| 1538154570 | Gary Lloyd Bevill | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-15 |
| Find all providers in EL DORADO | ||||
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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.