RANDOLPH EMERGENCY GROUP LLC (NPI# 1568448066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568448066 |
| Entity Type | Organization |
| Organization Name | RANDOLPH EMERGENCY GROUP LLC |
| Practice Address |
2801 Medical Center Dr Pocahontas AR 72455-9436 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8708926162 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM CLIFF SCHUMACHER (CEO) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2801 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
| 1336793611 | Jordan Brooke Fletcher | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2019-07-25 |
| 1093054645 | Vivian Lea Brengard | Dietitian, Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2013-02-01 |
| 1376834101 | Jefferydon Lee Coon | Internal Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2011-04-27 |
| 1932401650 | Five Rivers Medical Center Inc. | Psychiatric Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1922300649 | Five Rivers Medical Center Inc. | Medicare Defined Swing Bed Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1376845099 | Five Rivers Medical Center Inc. | Radiology | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1528360989 | Five Rivers Medical Center Inc. | General Acute Care Hospital | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-11-17 |
| 1093023426 | Anna Pauletta Littleton | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455 | 2010-09-20 |
| 1578793469 | Nancy J Baltz | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2009-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053415125 | Pocahontas Community Hospital | Emergency Medicine | 606 Nw 7th St, Pocahontas, IA 50574-1028 | 2006-09-11 |
| 1740233584 | William Scott Lewis | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2006-05-19 |
| 1730147083 | Stephen K. Blackburn | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198554 | Richard Lister Calleton | Emergency Medicine | 656 Polk Road 63, Mena, AR 71953-4447 | 2019-11-12 |
| 1780187302 | Samuel G Waters | Emergency Medicine | 512 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2018-03-09 |
| 1689101099 | Sterling Thornton Brown | Emergency Medicine | 4803 Jefferson Ave, # 126, Texarkana, AR 71854-1143 | 2017-05-16 |
| 1669907051 | David Crow | Emergency Medicine | 4301 W Makham St., Little Rock, AR 72205 | 2017-04-24 |
| 1811429772 | Meredith Kathleen Von Dohlen | Emergency Medicine | 4301 W Markham St, Slot 584, Little Rock, AR 72205-7199 | 2017-03-30 |
| 1972034775 | Brandon Keith Vick | Emergency Medicine | 612 South 12th St., Family Medicine Uams-west, Fort Smith, AR 72901 | 2017-03-23 |
| 1760839120 | Nana-aishatu U Adamu | Emergency Medicine | 1401 S State St Ste C, Pine Bluff, AR 71601-5827 | 2016-05-16 |
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1649632886 | Cesar Hurtado | Emergency Medicine | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 2016-03-26 |
| 1306216932 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5505 John F Kennedy Blvd, North Little Rock, AR 72116-6707 | 2015-09-25 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on RANDOLPH EMERGENCY GROUP LLC.
| 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.