SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF (NPI# 1508802034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508802034 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF |
| Other Organization Name | SAMA HEALTHCARE SERVICES IDTF |
| Practice Address |
600 S Timberlane Dr El Dorado AR 71730-6990 |
| Practice Telephone | 8708622400 |
| Practice Fax Number | 8708621891 |
| Mailing Telephone | 8708622400 |
| Mailing Fax Number | 8708621891 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRY E DETWILER (ADMINISTRATOR) |
| Authorized Official Telephone | 8708648120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SAMA HealthCare Services IDTF | Doing Business As Name - Organization |
| Street Address |
600 S TIMBERLANE DR |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154570 | Gary Lloyd Bevill | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-15 |
| 1205386604 | Tessa M Lee | Physician Assistant | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2016-10-10 |
| 1740735323 | Ambrosia A Caruso | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2016-08-24 |
| 1851754972 | Spencer Mccullough | Counselor | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2016-04-05 |
| 1811312960 | Amanda Shirron | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2014-02-26 |
| 1528482189 | Christy Buhrman | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2014-02-18 |
| 1023449550 | Rebecca Jan Porter | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2013-12-10 |
| 1194166199 | Christina Lauren Monteith | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2013-07-08 |
| 1548555378 | Virginia Denise Price | Nurse Practitioner | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2011-06-09 |
| 1861526121 | Erin Braden Goss | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2007-03-16 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073719423 | South Arkansas Open Mri LLC | Clinic/Center | 2401 W Hillsboro St, El Dorado, AR 71730-6815 | 2007-06-22 |
| 1013203785 | Southark Imaging LLC | Clinic/Center | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2011-06-21 |
| 1053307108 | Sama Independent Diagnostic Testing Facility | Clinic/Center | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527001 | North Lr Medical Imaging LLC | Clinic/Center | 3320 Springhill Dr, Suite 200, N Little Rock, AR 72117-2922 | 2013-01-07 |
| 1760660351 | Med Imaging of Arkansas, Pllc | Clinic/Center | 6948 Alcoa Rd, Suite G, Benton, AR 72015-9726 | 2008-02-05 |
| 1487778593 | Us Radiology Partners of Texas Inc | Clinic/Center | 4201 Clubhouse Dr, Jonesboro, AR 72401-8078 | 2007-03-16 |
| 1568506715 | Arkansas Mri Services LLC | Clinic/Center | 1703 Phyllis St, Suite 101, Bentonville, AR 72712-7094 | 2007-02-19 |
| 1467492009 | Cabot Imaging Center, LLC | Clinic/Center | 2039 West Main Street, Suite A, Cabot, AR 72023 | 2006-06-08 |
| 1588265003 | Brittany Barber, Pllc | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-11-02 |
| 1013522127 | Sarc By Hsh Asc Pine Bluff | Clinic/Center | 7200 S Hazel St, Pine Bluff, AR 71603-7836 | 2020-09-15 |
| 1568086940 | Lansdell Enterprise Corp | Clinic/Center | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | 2020-06-02 |
| 1649715681 | Chaffee Diagnostics LLC | Clinic/Center | 11300 Roberts Blvd, Fort Smith, AR 72916-6027 | 2016-12-29 |
| 1457706376 | 360 Imaging LLC | Clinic/Center | 3320 Springhill Dr, North Little Rock, AR 72117-2922 | 2016-04-28 |
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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.